ĐÁNH GIÁ HIỆU QUẢ GIẢM ĐAU TRONG CHUYỂN DẠ ĐẺ CỦA PHƯƠNG PHÁP GÂY TÊ NGOÀI MÀNG CỨNG CÓ LÀM THỦNG MÀNG CỨNG CHỦ ĐỘNG (DPE)

Abstract

Objects: To evaluate the effectiveness of pain reduction in labor using the method of dural puncture epidural anesthesia. Methods: RCT study on 80 patients divided two groups. Group 1: Using epidural anesthesia with mixture of ropivacain 0,1% and fentanyl 2 mcg/ml. Group 2: Using dural puncture epidural anesthesia with mixture of ropivacain 0,1% and fentanyl 2 mcg/ml. Results: During the stages of labor, VAS score < 4 and there is no difference between the two study groups (p > 0,05). When controlling the uterus and perineal sutures, VAS score in group 2 lower group 1 (2,72 ± 1,57 vs 2,55 ± 0,91 and 2,76 ± 1,64 vs 2,41 ± 0,87, p < 0,05) The postpartum pain relief time in group 2 is longer than group 1 (9,93 ± 1,91 hrs vs 7,52 ± 1,37 hrs, p < 0,05). Conclusion: Dural puncture epidural anesthesia, when performed in obstetric procedures, can provide better pain relief compared to epidural anesthesia. It has a faster onset and longer – lasting pain reduction after vaginal delivery.