腰麻硬膜外联合麻醉用于分娩镇痛临床分析

目的探讨腰麻硬膜外联合麻醉在临床分娩镇痛中的应用效果。方法选取2011年2月～2013年2月深圳市福田区第二人民医院住院分娩的产妇共50例,按照随机的原则将其均分为对照组和观察组（n=25）。对照组产妇未镇痛,实施自然分娩;观察组采用腰麻硬膜外联合麻醉进行分娩镇痛。同时,观察2组产妇产后疼痛状况、出血量以及新生儿Apgar评分等。结果对比2组产后相关指标,对照组产后出血量为（253.6±7.3）mL、新生儿Apgar评分（9.2±1.5）、产程（497.2±276.4）min,观察组产后出血量为（227.3±7.9）mL、新生儿Apgar评分（7.4±1.3）、产程（447.8±265.1）min,对比显示观察组更具优势,差异有统计学意义（P〈0.05）。结论在临床产妇的分娩过程中,采用腰麻硬膜外联合麻醉对缓解分娩疼痛具有较好的效果,是临床分娩镇痛的有效方法,有利于确保母婴安全。

Objective To investigate the spinal epidural anesthesia in clinical analgesia in. Methods 50 cases of maternal childbirth from February 2011 to February 2013 in the hospital were divided into a control group and the observation group according to the random principle, 25 cases in the control group mothers did not analgesia, the implementation of natural childbirth;Observation group spinal epidural anesthesia for labor analgesia. Meanwhile, conditions were observed postpartum pain, bleeding and Agar score and so on. Results Postpartum hemorrhage, neonatal Agar scores, labor pain, and labor and other indicators in the two groups had statistically significant difference （P〈0.05）. Conclusion In clinical maternal birthing process, the use of spinal epidural anesthesia to relieve labor pain with good results, is an effective method of clinical analgesia, help ensure safe motherhood.