腰硬联合麻醉无痛分娩的效果观察

目的探讨腰硬联合麻醉无痛分娩的效果。方法选择2008年1月-2009年7月在本院分娩的初产妇120例,随机分为观察组和对照组,每组各60例,两组产妇均按产科常规处理,观察组产妇采用腰硬联合麻醉无痛分娩;对照组产妇不采用任何镇痛方法。比较两组产妇分娩疼痛的程度、分娩方式、新生儿Apgar评分的差异。结果两组产妇疼痛程度和分娩方式比较,经统计学分析,均P<0.05,差异具有统计学意义,实验组产妇疼痛程度较对照组产妇轻;自然分娩例数较对照组产妇多。两组新生儿Apgar评分比较,P>0.05,差异无统计学意义。结论腰硬联合麻醉无痛分娩使产妇清醒地参加自然分娩过程,并为产妇提供一个安全舒适、疼痛减轻或无痛的分娩过程。

Objective To explore the effect of epidural anesthesia on painless childbirth.Methods One hundred and twenty primipara who gave birth in our hospital from January to June 2008 were randomly divided into two groups,with 60 in each.Patients in the observation group received epidural anesthesia for painless childbirth,while patients in the control group received the conventional treatment without any anesthesia.The degree of pain,the labor course,the modality of delivery,and the newborn Apgar scores were compared between the two groups.Results Significant differences were found between the two groups in the degree of pain and the course of delivery.Patients in the observation group had less pain and shorter labor course than those in the control group.No significant differences were found in the newborn Apgar scores between the two groups.Conclusion Epidural anesthesia enables primipara to deliver spontaneously,promote the dilatation of cervix and shorten the delivery course,and thus make the delivery comfortable with less pain or no pain.