腰硬联合麻醉在产妇分娩镇痛中的应用分析

Application analysis of combined spinal-epidural anesthesia on maternal labor analgesia

目的探讨腰硬联合麻醉在产妇分娩镇痛中的应用效果。方法对2013年4月-2014年4月来本院诊治的80例患者入院资料进行分析,将其随机分为两组。对照组采用常规方法麻醉,实验组采用腰硬联合麻醉,比较两组分娩镇痛效果。结果实验组镇痛起效时间为（3.9±0.6）min,短于对照组的（7.4±1.6）min（P〈0.01）;实验组5、10、30、60、90 min时SAS评分均低于对照组（P〈0.05）;两组产程时间及产后出血量比较差异均无统计学意义（P〉0.05）;实验组Apgar评分高于对照组（P〈0.05）。结论分娩是女性特殊的生理,采用腰硬联合麻醉的镇痛效果理想,值得推广应用。

Objective To explore the application effect of combined spinal-epidural anesthesia on maternal labor analgesia. Methods Clinical data of 80 patients visited our hospital for diagnosis and treatment from April 2013 to April 2014 were analyzed and randomly divided into two groups.In control group,conventional method was applied for anesthetization,while in experimental group,combined spinal-epidural anesthesia was adopted.The labor analgesia effect between two groups was compared. Results Onset time of analgesia in experimental group was （3.9±0.6） min,shorter than that in control group[（7.4±1.6）] min（P〈0.01）.SAS score after anesthesia of 5,10,30,60,90 rain in experimental group was lower than that in control group respectively （P〈0.05）.There were no statistical difference in labor stage time and bleeding amount between two groups （P〉0.OS）.Apgar score in experimental group was higher than that in control group （P〈0.05）. Conclusion Childbirth is a special physiology in female.Combined spinal-epidural anesthesia can obtain an ideal effect,which is worthy of expansion and application.