目的比较顺产产妇自控镇痛泵注射哌替啶和护士注射哌替啶的效果.方法将64例宫颈口扩张3 cm的产妇采用随机数字表法分为两组,对照组由护士根据产妇的要求注射哌替啶,观察组由产妇进行自控镇痛,比较两组产妇的镇痛效果、用药量、用药后不良反应和满意度.结果产妇自控镇痛与护士根据产妇需要镇痛的镇痛效果相当,但产妇自控镇痛用药量大,新生儿窒息发生率高,满意度较低,差异有统计意义(P<0.05).结论产妇自控镇痛的疗效等同于护士控制的镇痛,但由于哌替啶用量增大,对新生儿有一定的威胁,临床应谨慎使用.

Objective To compare different effects of meperidine injected by nurses or by patients during labor. Methods Sixty-four healthy women beginning active labor (with cervical dilation of 3 cm) at term were randomly divided into two groups. In patient-control