摘要
目的研究腰麻-硬膜外联合阻滞用于分娩镇痛的临床效果和可行性。方法200例足月初产妇，腰麻顿膜外联合阻滞产妇100例作为研究组，自然分娩100例作为对照组，应用WHO疼痛标准评价镇痛效果，比较两组患者产程进展、胎儿情况及失血量等临床指标。结果与对照组相比，腰麻顿膜外联合阻滞镇痛效果显著（P〈0．01），副作用少，产程明显缩短（P〈0.01），失血量减少（P〈0．01），中转剖宫产率降低（P〈0．05）；然而，新生儿窒息发生率与对照组无统计学差异。结论腰麻顿膜外联合阻滞是理想的分娩镇痛手段，具有镇痛快、效果好、使用安全等优点。
Objective To study the clinical efficacy and safety of combined subarachnoid-epidural analgesia （CSEA） in labor. Methods CSEA was conducted in 100 primiparas, with another 100 cases as control group. The pain relief was assessed using WHO pain stage criterion. Labor progress, neonatal Apgar score and blood toss were compared. Results Compared with control group pain relief with CSEA was very distinct during labor （P〈0.01）, with little side effects, obviously shortened labor progress （P〈0.01）, reduced blood loss （P〈0.01） and incidence of cesarean （P〈0.05）; section, and with no increased incidence of neonatal asphyxia. Conclusion CSEA is an ideal method for labor pain relief, which is rapid, effective and safe analgesia.
出处
《国际麻醉学与复苏杂志》
CAS
2009年第4期310-311,共2页
International Journal of Anesthesiology and Resuscitation
关键词
腰-硬联合阻滞
镇痛分娩
镇痛
Combined subarachnoid-epidural analgesia
Labor pain relief
Analgesia
