Effect of whole-course epidural labor analgesia on coagulation function during vaginal delivery in pregnant women with hypertension

LIU Haodong; FU Xiaowu

doi:10.7619/jcmp.201921028

Journal of Clinical Medicine in Practice > 2019 > 23(21): 98-100. > DOI: 10.7619/jcmp.201921028

LIU Haodong, FU Xiaowu. Effect of whole-course epidural labor analgesia on coagulation function during vaginal delivery in pregnant women with hypertension[J]. Journal of Clinical Medicine in Practice, 2019, 23(21): 98-100. DOI: 10.7619/jcmp.201921028

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Effect of whole-course epidural labor analgesia on coagulation function during vaginal delivery in pregnant women with hypertension

LIU Haodong¹,
FU Xiaowu^2, ,

1.
Department of Anesthesia Surgery, Baoji Maternal and Child Health Care Hospital of Shaanxi Province, Baoji, Shaanxi, 721000
2.
Department of Anesthesiology, Longxian People′s Hospital, Baoji, Shaanxi, 721200

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Received Date: August 14, 2019
Available Online: February 28, 2021
Published Date: November 14, 2019

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Abstract

Abstract

Objective To investigate the effect of whole-course epidural labor analgesia on coagulation function in vaginal delivery in women with hypertensive pregnancy.
Methods A total of 100 cases with gestational hypertension in department of obstetrics and gynecology were included in the study. They were divided into two groups according to different analgesia methods. The natural delivery puerperae in control group(n=50) were given no analgesic treatment, while those in observation group(n=50) was performed epidural labor analgesia during vaginal delivery. The blood coagulation function of the two groups was compared.
Results Compared with the control group, the prothrombin time (PT) and activated partial thromboplastin time(APTT) were significantly longer in the observation group, and the D-dimmer(DD) and fibrinogen(FIB) were significantly decreased (P < 0.05). The nursing satisfaction in the observation group was significantly higher than that of the control group (94.00% vs. 80.00%, P < 0.05).
Conclusion For pregnant women with hypertensive hypertension, the application of full-course epidural labor analgesia can significantly improve the hypercoagulable state of blood and increase the safety of vaginal delivery in pregnant women with hypertension.
- gestational hypertension,
- full-course epidural labor analgesia,
- vaginal delivery,
- coagulation function

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References

[1]	杨旭瑛. 右美托咪定辅助硬膜外分娩镇痛对妊娠期高血压产妇机体应激及分娩结局的影响[J]. 临床医学研究与实践, 2019, 4(6): 123-125. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS201906051.htm
[2]	陈红青, 李志香, 李春燕. 妊娠期高血压疾病170例孕妇分娩镇痛安全性及结局分析[J]. 武警医学, 2019, 30(2): 159-161. https://www.cnki.com.cn/Article/CJFDTOTAL-WJYX201902053.htm
[3]	徐丹, 周仕彬, 罗方毅, 等. 罗哌卡因复合舒芬太尼硬膜外麻醉在初产妇经阴道分娩产妇无痛分娩中的应用及对产程及母婴的结局影响[J]. 河北医学, 2018, 24(12): 1953-1956. doi: 10.3969/j.issn.1006-6233.2018.12.005
[4]	端木红霞. 硬膜外罗哌卡因复合舒芬太尼应用于分娩镇痛对分娩结局及新生儿的影响[J]. 现代诊断与治疗, 2018, 29(18): 2892-2893. doi: 10.3969/j.issn.1001-8174.2018.18.019
[5]	秦宝玲. 孕妇自控硬膜外麻醉分娩镇痛的临床观察与研究[J]. 安徽卫生职业技术学院学报, 2018, 17(4): 130-131, 133. doi: 10.3969/j.issn.1671-8054.2018.04.062
[6]	周淑珍, 林增茂, 孙丙亮, 等. 个体化镇痛时机对硬膜外分娩镇痛效果的影响[J]. 临床麻醉学杂志, 2018, 34(4): 317-321. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ201804001.htm
[7]	陈微, 朱贵琴, 梁刚. 硬膜外分娩镇痛对妊娠期高血压产妇产程时间、血压及分娩结局的影响[J]. 中国妇幼保健, 2018, 33(6): 1254-1257. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201806019.htm
[8]	吕辉, 包义勇. 分娩镇痛中罗哌卡因+舒芬太尼不同给药方式对体温的影响[J]. 中国妇幼健康研究, 2017, 28(8): 976-979. doi: 10.3969/j.issn.1673-5293.2017.08.029
[9]	王艳艳, 何莉茹, 王亚琴, 等. 膜外麻醉镇痛对阴道分娩产程进展及母婴的影响研究[J]. 实用临床医药杂志, 2017, 21(15): 210-211. doi: 10.7619/jcmp.201715074
[10]	杨会义, 安丽, 许萍, 等. 右美托咪定用于妊娠期高血压产妇硬膜外分娩镇痛的疗效及护理方式[J]. 河北医药, 2017, 39(11): 1746-1748. doi: 10.3969/j.issn.1002-7386.2017.11.043
[11]	黄丽玫, 谢学萍. 持续硬膜外分娩镇痛联合无保护会阴接生技术在临床中的应用[J]. 护理实践与研究, 2017, 14(4): 51-53. doi: 10.3969/j.issn.1672-9676.2017.04.021
[12]	王彤丹, 李博, 陈亮, 等. 电子镇痛泵与持续输注泵硬膜外分娩镇痛的效果比较[J]. 河北医药, 2016, 38(17): 2642-2644. https://www.cnki.com.cn/Article/CJFDTOTAL-HBYZ201617024.htm
[13]	张俊素. 硬膜外分娩镇痛对产妇子宫收缩的影响分析[J]. 实用妇科内分泌杂志: 电子版, 2017, 4(11): 25-25, 27. https://www.cnki.com.cn/Article/CJFDTOTAL-FKDZ201711015.htm
[14]	黄智明, 张翠然, 许陪陪. 硬膜外分娩镇痛对妊娠期高血压患者自然分娩血压和产程的影响[J]. 中国药业, 2015, 24(24): 55-56. https://www.cnki.com.cn/Article/CJFDTOTAL-YYGZ201524026.htm
[15]	卢晓倩, 陈先侠. 镇痛分娩的临床应用研究进展[J]. 中国妇幼保健, 2018, 33(3): 718-721. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201803079.htm
[16]	田节印, 韩慕谦. 腰麻-硬脊膜外联合阻滞麻醉对妊娠高血压综合征产妇的镇痛效果研究[J]. 西北药学杂志, 2015, 30(4): 412-415. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYZ201504028.htm
[17]	魏永刚. 腰-硬联合麻醉用于妊娠合并高血压剖宫产患者的临床效果[J]. 中外医学研究, 2019, 17(1): 46-47. https://www.cnki.com.cn/Article/CJFDTOTAL-YJZY201901021.htm
[18]	彭俊旭, 任从才, 王庭国. 腰-硬联合麻醉与硬膜外麻醉对子痫前期患者围术期血流动力学的影响[J]. 齐齐哈尔医学院学报, 2015, 36(19): 2813-2816. https://www.cnki.com.cn/Article/CJFDTOTAL-QQHB201519003.htm

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