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| 经硬膜外导管注射地塞米松预防分娩镇痛后腰背疼痛的效果 |
| Injection of dexamethasone through epidural catheter for prevention of low back pain after labor epidural analgesia |
| 投稿时间：2018-03-02 |
| DOI：10.3969/j.issn.1000-0399.2018.12.017 |
| 中文关键词: 地塞米松 硬膜外导管 分娩镇痛 腰背疼痛 |
| 英文关键词: Dexamethasone Epidural catheter Labor analgesia Back pain |
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| 中文摘要: |
| 目的 经硬膜外导管注射地塞米松，观察其对预防硬膜外分娩镇痛后腰背疼痛的有效性。方法 选择2015年1月至2017年10月在合肥市第五人民医院进行硬膜外分娩镇痛的300例产妇，采用随机数字表法，分为地塞米松组（D组）和对照组（C组），每组150例。根据硬膜外导管的刻度，使其退出硬膜外腔至黄韧带，D组产妇通过其导管注入地塞米松1 mL（5 mg）和生理盐水3 mL的混合液，边退管，边注药，直至皮下组织。同样方法，C组产妇于硬膜外导管注入生理盐水4 mL。随访3 d内产妇分娩镇痛后腰背疼痛的发生情况并进行比较。结果 分娩镇痛后，C、D组产妇腰背疼痛发生率分别为74.63%和17.69%，两组产妇腰背疼痛发生率差异有统计学意义（P<0.05）；两组腰背疼痛产妇的疼痛程度构成差异有统计学意义（P<0.05）。结论 经硬膜外导管注射小剂量地塞米松，有助于减轻分娩镇痛后腰背疼痛，并减轻其疼痛程度。 |
| 英文摘要: |
| Objective To observe the efficacy of injection of dexamethasone for prevention of low back pain through epidural catheterafter labor epidural analgesia. Methods Three hundred nulliparous parturients who required labor epidural analgesia in our hospital from Jan 2015 to Oct 2017, of American Society Anesthesiologists(ASA) physical statusIorⅡ with single cephalic term,were randomly divided into two groups(n=150 each) using a random number table:dexamethasone group (group D) and control group (group C).In group D,according to the scale ofepidural catheter,which withdrew from the epidural space to the ligamentum flavum,dexamethasone 1 mL (5 mg) and normal saline 3 mL were injected through epidural catheter at the point of puncture from ligamentum flava to skin,and normal saline 4 mLwas injected to subjects of Group C in the same way. The patients were followed up for three days, and the development of low back pain was recorded. Results The incidence of low back pain after labor epidural analgesia in group C and group D was 74.63% and 17.69% respectively,and there was asignificant difference in the incidence of low back pain between two groups (P<0.05); there was a significant difference in the constituent of pain degree betweentwo groups (P<0.05). Conclusion Injection of low-dose dexamethasone through epidural catheteris helpful in reducing low back pain and the degree of pain after labor epidural anesthesia. |
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