腰硬联合与精神预防性镇痛协同作用对自然分娩心理因素的影响

Combined spinal epidural and spirit preventive analgesia synergism effect on natural childbirth psychological factors

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(3)
作者
作者单位

中航工业西安医院妇产科 ;
陕西省第二人民医院妇产科 ;
西安煤矿机械厂职工医院神经内科 ;

摘要
摘要:目的:探讨腰硬联合与精神预防性镇痛协同作用对自然分娩心理因素的影响。方法:选取86例自然分娩产妇作为研究对象,并随机分为两组,每组43例,对照组给予腰硬联合麻醉镇痛,观察组则在此基础上联合精神预防性镇痛,比较两组产妇的疼痛程度以及镇痛前后的心理状态。结果:①经比较,观察组的0级、1级疼痛率显著高于对照组,其2级和3级疼痛率均为2.33%,显著低于对照组,组间差异均有统计学意义(P<0.05)。②镇痛后,两组患者的SAS和SDS评分均明显低于镇痛前(P<0.05),且观察组各项评分均显著低于对照组(P<0.05)。结论:腰硬联合与精神预防性镇痛对自然分娩具有良好的协同作用,可以明显减轻产妇的痛感,缓解心理压力,镇痛效果显著,适合进行临床推广。
Abstract
Abstract: Objective: To investigate the effect of combined spinal and epidural analgesia on psychological factors. Methods: 86 cases of natural childbirth of pregnant women as the research object, and randomly divided into two groups, 43 cases in each group, the control group was given combined spinal epidural anesthesia and analgesia, observation group based on the combination of the spirit of preventive analgesia, before and after comparison of the two groups of maternal pain and analgesic state of mind. Results: compared with the control group, the pain level of the observation group was significantly higher than that of the control group, and the pain rate of the 2 and the grade 3 was significantly lower than that of the control group, and the difference between the groups was statistically significant () (P<0.05) (). After analgesia, the SAS and SDS scores of the two groups were significantly lower than those of the former group (P<0.05), and the scores of the observation group were significantly lower than those of the control group (P<0.05). Conclusion: combined spinal epidural and preventive analgesia have good synergistic effect on natural childbirth, can significantly reduce maternal pain, alleviate psychological pressure, analgesia effect, suitable for clinical application.
关键词
关键词:腰硬联合;精神预防性镇痛;协同作用;心理因素
KeyWord
Key words: combined spinal and epidural analgesia; synergistic effect; psychological factors
基金项目
页码 503-505
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杨琼*,刘艳晖, 商志玲,张明书. 腰硬联合与精神预防性镇痛协同作用对自然分娩心理因素的影响 [J]. 国际精神病学杂志. 2017; 44; (3). 503 - 505.

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