硬膜外阻滞麻醉在120例无痛分娩中的临床效果观察

The clinical effects of epidural anesthesia in painless child birth of 120 patients

目的探讨硬膜外阻滞麻醉在无痛分娩中的临床效果。方法选择我院2011年6月～2013年6月分娩的120例足月孕产妇为研究对象，自愿采取硬膜外阻滞麻醉行无痛分娩的60例足月孕妇设为观察组，拒绝使用硬膜外阻滞麻醉的60例足月产妇设为对照组。观察并比较两组孕产妇的镇痛效果、产程时间、新生儿Apgar评分以及产后出血等并发症发生情况。结果观察组中孕产妇镇痛有效率明显高于对照组孕产妇。观察组产妇第一产程、总产程时间显著短于对照组，差异具有统计学意义（P〈O．05）。两组孕产妇的产后出血发生率、产后失血量、新生儿窒息发生率相比，差异无统计学意义（P〉0．05）。结论采取硬膜外阻滞麻醉行无痛分娩，镇痛效果好，产程时间明显缩短，对母婴影响较小，临床效果可靠。

Objective To discuss the clinical effects of epidural anesthesia in painless childbirth. Methods To select 120 pregnant and lying-in women in our hospital from June 2011 to June 2013 as the research object, the observation group were 60 pregnant patients who accepted epidural anesthesia in painless childbirth, the control group were 60 pregnant patients who refused.The maternal analgesia,labor time,Apgar score,the incidence of postpartum hemorrhage and other complications were observed and compared. Results The analgesia efficiency of the observation group was significantly higher than the control group. The maternal first stage and the total labor time of the observation group was significantly shorter than the control group, the two groups have a significant difference （P 〈： O.05）.The incidence of postpartum hemorrhage, postpartum blood loss,and incidence of neonatal asphyxia of two groups have no statistical difference（P 〉 0.05）. Conclusion Epidural anesthesia is a efficient way to control the pain,labor time was significantly shorter,less impact on mother and baby,and the clinical effect is reliable.