持续硬膜外麻醉镇痛分娩的临床分析

Epidural Anesthesia and Analgesia Delivery Clinical Analysis

目的探讨持续硬膜外麻醉在无痛分娩中的应用。方法对130例产妇分娩时实施硬膜外麻醉并给予相应的助产措施(镇痛组),与70例未实施麻醉者(对照组)进行对比,比较两组产妇第一产程时间和新生儿Apgar评分。结果镇痛组效果优于对照组。镇痛组活跃期宫颈扩张速度较对照组明显加快,第一产程时间明显缩短,新生儿Apgar评分无显著性差异。结论硬膜外麻醉无痛分娩具有安全起效快、持续时间可控制、对产妇生理影响小,对胎儿无不良影响并能缩短产程等优点。配合相应的临床支持,值得推广和应用。

Objective to explore the application value of support for painless childbirth. Methods 130 cases of the imple- mentation of epidural anesthesia during childbirth and provide appropriate care and support （analgesia group）, and 70 cases of non de- livery of anesthesia （control group） to compare two groups were compared first stage of labor time, maternal and neonatal Apgar score. Results Analgesia group was better than the control group. Active phase of cervical pain group were significantly higher than the rate of expansion accelerated significantly shorter first stage of labor, neonatal Apgar score no significant difference. Conclusion Epidural anesthesia pain-free birth is safe fast onset, duration can be controlled on the physiological effects of maternal small, no ad- verse effects on the fetus and can shorten the production process and so on. With the appropriate care and support, worthy of clinical practice and application.