Foji Samira, Yousefi Moghadam Manijeh, TabasiAsl Hosein, Nazarzadeh Milad, Salehiniya Hamid
School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran,PHD candidate in nursing, school of nursing and Midwifery, Golestan university of medical sciences, Golestan, Iran.
School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Biomedicine (Taipei). 2018 Sep;8(3):17. doi: 10.1051/bmdcn/2018080317. Epub 2018 Aug 24.
The purpose of the present study was to compare the effect of ENTONOX inhalation and spinal injection on the reduction of labor pain, the Apgar score of the neonates, and their side effects on new-born children and pregnant women.
The present clinical trial study is conducted among the pregnant women in the maternity ward of a child delivery hospital in Iran. All Participants were divided in two groups ENTONOX Inhalation and Spinal Anesthesia. Visual Analogue Scale (VAS) was implemented to measure the pain level experienced by the participants during the procedure. Moreover, the Apgar scale was used to measure the general physical health of the neonates in both groups. In addition, the participants receiving ENTONOX were asked to report the side effects they underwent during gas inhalation. However, the participants in the spinal anesthesia were checked three times. Statistical analysis was performed using SPSS version 22.
The findings showed that the spinal anesthesia technique was significantly more effective than gas inhalation in that it reduced as much as 3 points more than did the inhalation (P-value: 0.001). Moreover, the comparison of the mean Apgar scores showed that the mean Apgar score of the neonates of spinal anesthesia mothers was 0.36 point lower than that of the neonates in the gas inhalation group. However, this difference was not statistically significant at P- value = 0.06.
the result of the present study indicated that spinal anesthesia was more effective than ENTONOX inhalation in reducing the labor pain.
本研究的目的是比较氧化亚氮吸入和脊髓注射在减轻分娩疼痛、新生儿阿氏评分以及对新生儿和孕妇的副作用方面的效果。
本临床试验研究在伊朗一家妇产医院产科病房的孕妇中进行。所有参与者分为两组：氧化亚氮吸入组和脊髓麻醉组。采用视觉模拟量表（VAS）来测量参与者在手术过程中所经历的疼痛程度。此外，使用阿氏评分量表来测量两组新生儿的总体身体健康状况。另外，要求接受氧化亚氮吸入的参与者报告他们在气体吸入过程中所经历的副作用。然而，对脊髓麻醉组的参与者进行了三次检查。使用SPSS 22版进行统计分析。
研究结果表明，脊髓麻醉技术比气体吸入显著更有效，因为它比吸入法多降低了3分（P值：0.001）。此外，平均阿氏评分的比较表明，脊髓麻醉母亲的新生儿平均阿氏评分比气体吸入组新生儿低0.36分。然而，在P值 = 0.06时，这种差异无统计学意义。
本研究结果表明，脊髓麻醉在减轻分娩疼痛方面比氧化亚氮吸入更有效。
