Volume 20 Issue 6
Jun.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(6): 931-933
WANG Guang-long, ZHANG Cong-li, YIN Feng-wei, ZHANG Yun-chun. Observation on the effect of individualised length of epidural catheter for labour analgesia under ultrasound guidance[J]. Chinese Journal of General Practice, 2022, 20(6): 931-933. doi: 10.16766/j.cnki.issn.1674-4152.002490
Citation: WANG Guang-long, ZHANG Cong-li, YIN Feng-wei, ZHANG Yun-chun. Observation on the effect of individualised length of epidural catheter for labour analgesia under ultrasound guidance[J]. Chinese Journal of General Practice, 2022, 20(6): 931-933. doi: 10.16766/j.cnki.issn.1674-4152.002490
shu

Observation on the effect of individualised length of epidural catheter for labour analgesia under ultrasound guidance

doi: 10.16766/j.cnki.issn.1674-4152.002490

  • Department of Anesthesiology, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 KJ2020A0581

  • Received Date: 2022-01-18
    Available Online: 2022-09-21
    Abstract
  •   Objective  To observe the effect of individualised length of epidural catheter for labour analgesia under ultrasound guidance.  Methods  Total 100 obstetric patients who received labour analgesia in the Obstetrics Department of the First Affiliated Hospital of Bengbu Medical College from October 2019 to December 2020 were selected. They were divided into conventional group and ultrasound group by random number table method, with 50 cases in each group. In the conventional group, the epidural catheter was placed 4 cm, and in the ultrasound group, the epidural catheter was placed in the L2 vertebral body length. The range of anaesthesia plane block at 15 min after epidural injection, VAS score at 30, 60 and 90 min after pump operation, adverse reactions of catheter, local anaesthetic dosage, pump pressing times, maternal delivery mode, neonatal 1 and 2 min Apgar score, and maternal adverse reactions were compared between the two groups.  Results  The range of anaesthesia plane block in the ultrasound group [(5.24±1.89) segments] was higher than that in the conventional group [(4.26±1.86) segments, P < 0.05]. The 30, 60 and 90 min VAS scores of the ultrasound group [(4.38±1.74) points, (3.52±1.92) points, (3.28±1.88) points] were lower than those of the conventional group [(5.50±2.10) points, (4.46±1.98) points, (4.30±1.91) points], all P < 0.05. The incidence rate of catheter adverse reactions, local anaesthetic dosage and pump pressing times in the ultrasound group [10.0%, (21.96±12.01) mL and (3.48±1.88) times] were lower than those in the conventional group [64.0%, (38.14±9.10) mL and (4.38±1.74) times], all P < 0.05, and other indicators showed no significant difference.  Conclusion  Ultrasound-guided epidural catheterisation with individualised length for labour analgesia can reduce the dosage of local anaesthesia, adverse reactions of catheter and number of pump compressions, do not affect the outcome of mother and child, and has a good analgesic effect.

     

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