腰麻及硬膜外麻醉联合应用于产科分娩镇痛的临床观察

Combined spinal and epidural anesthesia used in obstetric labor analgesia

目的:比较腰麻及硬膜外联合麻醉与硬膜外麻醉在产科分娩镇痛过程中的效果。方法:抽取100例来本院妇产科行分娩术的患者,其中50例作为观察组,行腰麻与硬膜外联合麻醉,50例作为对照组行硬膜外持续麻醉,对麻醉效果进行比较。结果:两组均可取得较为满意的麻醉效果,但观察组在达到0级时间和疗效时间方面明显低于对照组,且罗哌卡因使用量明显低于对照组,两组产后出血率和剖宫产率相当,产程情况相当,无明显差异。结论:腰麻与硬膜外联合麻醉镇痛效果明显,见效快,可明显减少硬膜外罗哌卡因用药量,极大地减轻了产妇的痛苦,获得较高的满意度,应用前景广阔。

Objective：To compare spinal and epidural anesthesia and epidural anesthesia during labor analgesia in the obstetric results.Methods：100 patients taken to hospital obstetric and gynecological surgery patients in labor,of which 50 cases were used as the observation group,spinal anesthesia and epidural anesthesia,50 cases as the control group underwent continuous epidural anesthesia,compared the effects of anesthesia.Results：Both groups could be made satisfactory anesthesia,but the treatment group to 0 time and the timing effect was significantly lower than control group,and ropivacaine consumption was significantly lower than the control group rate of postpartum hemorrhage cesarean section rate was very,very labor conditions,no significant difference.Conclusion：The spinal analgesia with epidural anesthesia significantly,effective,and can significantly reduce the dosage of epidural ropivacaine,greatly reducing the suffering of mothers,a higher degree of satisfaction,a bright future.