蛛网膜下腔—硬膜外联合阻滞分娩镇痛(CSEA)对产程及新生儿影响的研究

The investigation of birth process and newborn condition by combined subarachnoid and epidural analgesia during Labor.

目的探讨蛛网膜下腔———硬膜外联合阻滞分娩镇痛(CSEA)对产程及新生儿出生并发症的影响。方法对55例初产妇实施蛛网膜下腔———硬膜外联合阻滞分娩镇痛(CSEA),选择同时期分娩的55例初产妇及其新生儿作为对照组。对两组的产程、剖宫产率以及新生儿窒息、吸入性肺炎、颅内出血等出生并发症的发生率进行对照。结果产程时间镇痛组较对照组短,有显著性差异(P<0.05);剖宫产率镇痛组较对照组低,有显著性差异(P<0.05);新生儿出生并发症发生率两组相同,无显著性差异(P>0.05)。结论蛛网膜下腔———硬膜外联合阻滞分娩镇痛(CSEA)效果显著、安全可靠,可缩短产程,降低因社会因素导致的剖宫产率,对新生儿出生并发症发生率无明显影响。

Objective： To investigate the effects of birth process and newborn by combined subarachnoid and epidural analgesia （CSEA）. Methods： 55 cases of first pregnant women were administered, combined with CSEA, compared with another 55 control first pregnant women who did not receive CSEA and their newborn, the birth process, incidence of caearean section and neonatal asphyxia, aspiration pneumonia, intracranial hemorrhage and so on. Results： The difference was effectively significant in the birth process and incidence of caesarean section （ P 〈 0. 05 ） between the study group and the control group while there was no significant difference in the incidence of birth complication （ P 〉 0. 05 ）. Conclusion： The application of CSEA was safe and effective. The birth process was shortened and the incidence of caesarean section caused by social factors was decreased. CSEA was no obvious effects to birth complication.