Volume 21 Issue 8
Aug.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(8): 1335-1338
JIANG Yan, KE Shangao, WANG Fen, WU Yuan, WU Tao, ZHOU Qusheng, WANG Meiyun, NIE Xin, ZHOU Tao. Effect of programmed intermittent epidural bolus technique on burst pain suppression and the safety of maternal and infant labour analgesia in obese parturients[J]. Chinese Journal of General Practice, 2023, 21(8): 1335-1338. doi: 10.16766/j.cnki.issn.1674-4152.003117
Citation: JIANG Yan, KE Shangao, WANG Fen, WU Yuan, WU Tao, ZHOU Qusheng, WANG Meiyun, NIE Xin, ZHOU Tao. Effect of programmed intermittent epidural bolus technique on burst pain suppression and the safety of maternal and infant labour analgesia in obese parturients[J]. Chinese Journal of General Practice, 2023, 21(8): 1335-1338. doi: 10.16766/j.cnki.issn.1674-4152.003117
shu

Effect of programmed intermittent epidural bolus technique on burst pain suppression and the safety of maternal and infant labour analgesia in obese parturients

doi: 10.16766/j.cnki.issn.1674-4152.003117
  • 1.

    Department of Anesthesiology, Women and Children's Hospital of Tongling, Tongling, Anhui 244000, China

Funds:

 2020FY19

 卫科研〔2019〕25号

  • Received Date: 2021-08-16
    Available Online: 2023-09-13
    Abstract
  •   Objective  To evaluate the efficacy and safety of programmed intermittent epidural bolus (PIEB) in combined lumbar and epidural labour analgesia in obese parturients, by observing the incidence of labour pain, expulsion pain and related conditions after PIEB was applied in the analgesia of combined lumbar and epidural labour in obese parturients.  Methods  A total of 100 full-term singleton primigravida in Tongling Maternal and Child Health Hospital from April 2020 to August 2021 were randomly divided into PIEB group and continuous epidural infusion (CEI) group by random number method, with 50 cases in each group. Pain VAS scores at various time points before and after labour analgesia, pain onset, analgesic dosage, labour and delivery related conditions, adverse effects and maternal satisfaction were compared between the two groups.  Results  Finally, 44 cases in PIEB group and 42 cases in CEI group were included in the study. The comparison of pain VAS scores between groups, comparison between time points and the interaction between group and time were all statistically significant (all P < 0.05). The incidence of pain onset was lower in the PIEB group than in the CEI group [27.3% (12/44) vs. 50.0% (21/42)], the onset time was delayed [(281.27±77.88) min vs. (201.20±48.26) min], the number of PCA compressions was reduced [(1.46±0.65) times vs. (2.29±1.15) times], the proportion of PCA>1 time was lower [15.9% (7/44) vs. 38.1% (16/42)], the amount of anesthetic per unit time was lower [(8.32±1.60) mg/h vs. (9.12±2.01) mg/h], the incidence of lateral incision was lower [13.6% (6/44) vs. 33.3% (14/42)], while the use of oxytocin increased [52.3% (23/44) vs. 30.9% (13/42)], and the differences were statistically significant (all P < 0.05).  Conclusion  The application of PIEB used in obese parturients for lumbar and hard labour analgesia can reduce the outbreak of pain, delay the onset of pain, reduce the amount of anaesthesia, with high safety for mother and child.

     

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