腰硬联合麻醉应用于无痛分娩的疗效及安全性分析

Efficacy and safety of combined spinal epidural anesthesia for painless labor

目的探讨腰硬联合麻醉应用于无痛分娩的临床疗效及安全性。方法 2013年1-9月,该院进行分娩的160例产妇,随机将其分为对照组(连续硬膜外麻醉)和观察组(腰硬联合麻醉),每组各80例,对两组麻醉起效时间、第一产程时间,镇痛效果,以及剖宫产率、术后并发症发生率,进行观察和比较。结果与对照组相比,观察组麻醉起效时间(3.0±2.0)min vs(7.0±3.0)min、第一产程时间(5.5±0.5)h vs(7.0±1.0)h均明显缩短,镇痛总有效率明显提高,剖宫产率、术后并发症发生率均显著降低(均P<0.05)。结论腰硬联合麻醉应用于无痛分娩中,具有镇痛效果佳、安全性高等特点,明显改善母婴结局。

【Objective】To study the clinical efficacy and safety of combined spinal epidural anesthesia for painless labor.【Methods】A total of 160 delivery women in our hospital were randomized into the control group（epidural anesthesia） and the observation group（combined spinal epidural anesthesia） with 80 in each group. The anesthesia onset time, first labor stage time, analgesic effect, and the rate of cesarean section and the incidence of postoperative complications in the two groups were observed and compared.【Results】The anesthesia onset time [（3.0 ±2.0）min] and the first labor stage time [（5.5±0.5） h] in the observation group were significantly decreased compared with those in the control group [（7.0±3.0） min and（7.0±1.0） h, respectively, P〈0.05]. Compared with the control group,the effective rate of analgesic effect was obviously increased in the observation group（P〈0.05）, the rate of cesarean section and the incidence of postoperative complications were significantly reduced（P〈0.05）. 【Conclusions】The combined spinal epidural anesthesia for painless labor has good analgesic effect and high safety, significantly improve the pregnancy outcome.