硬膜外麻醉分娩镇痛临床分析

Clinical Analysls of Epidural Analgesia in Delivery

目的:观察硬膜外麻醉用于分娩镇痛的效果及对产程、母婴的影响。方法:选择300例足月单胎、产前检查无阴道分娩禁忌、无椎管内硬膜穿刺禁忌的初产妇。ASAⅠ-Ⅱ级,随机分为硬膜外麻醉作为观察组,自然分娩组作为对照组,每组150例。观察产妇的生命体征,镇痛效果、产程时间、产后出血量、分娩方式、新生儿Apgar评分。结果:观察组产妇镇痛有效率为95.33%,活跃期与对照组相比明显缩短(p<0.01),第二产程时间及产后出血量与对照组相比无显著差异(P>0.05),剖宫产率明显低于对照组的剖宫产率(P<0.05);两组新生儿Apgar评分均无统计学差异(P>0.05)。结论:硬膜外麻醉镇痛效果确切,相对安全,是目前分娩镇痛的理想方法。

Objective:To investigate the analgesic effect of epidural block anesthesia on delivery and its influences on labor course, puerperas and infants. Methods:300 primiparae of healthy, full-term nonocyesis were divided randomly into 2 groups. The epidural block anesthesia was used to analgesia in delivery in the observation group. Natural deliery were used in the control group. The analgesic effects, the duration of delivery, the modes of delivery, vital signs of puerpera, the amount of puerperal bleeding and the newborn apgar scoresin were detected. Resules:The rate of analgesia was 95.33% in the observation group. Significant differences were found in active period(P<0.01).No significant differences were found between the amount of puerperal bieeding and stage Two(P<0.05).The cesarean sections of the observation group was lower than that of the control group(P<0.05).There was no statistical difference of newborn Apger scores between the two groups (P<0.05). Conclusion:The epidural block anesthesia has the exact effect of analgesia. It is relatively safe and the ideal method for the current labor analgesia.