腰-硬联合麻醉应用于无痛分娩中的可行性

Feasibility analysis of spinal-epidural anesthesia in painless childbirth

目的探讨腰-硬联合麻醉在无痛分娩中的临床可行性。方法选取我院2014年1月至2015年6月采用腰-硬膜联合麻醉镇痛分娩的初产妇80例,设为实验组;选取同期无镇痛分娩的80例初产妇设为对照组。对比记录两组产妇的疼痛等级、产程时间、剖宫产率、产后出血及新生儿窒息情况。结果实验组疼痛等级明显小于对照组,主要为0、1级疼痛,对照组主要为1、2级疼痛;实验组产妇0级、1级的百分率明显高于对照组,2级、3级的百分率低于对照组,差异有统计学意义(P<0.05)。实验组第一产程明显短于对照组,差异有统计学意义(P<0.05)。实验组产妇剖宫产率低于对照组,差异有统计学意义(P<0.05),产后出血及新生儿窒息情况与对照组比较差异均无统计学意义(P>0.05)。结论腰-硬联合麻醉应用于分娩镇痛,可有效减轻分娩疼痛,缩短第一产程时间,对产妇及新生儿无明显不良影响,是一种安全可行的无痛分娩方法,值得临床推广应用。

Objective To investigate the clinical feasibility of spinal-epidural anesthesia in painless childbirth. Methods 80 cases of primiparas with spinal-epidural anesthesia in painless childbirth in our hospital from January 2014 to December 2014 were selected as experimental group,and 80 cases of primiparas without painless childbirth at the same period in our hospital were selected as control group. The pain level,labor duration,the rate of cesarean section,postpartum hemorrhage and asphyxia of newborns in the two groups was observed. Results The level of pain in experimental group was lower than that in control group. It was mainly 0 and 1 level of pain in experimental group,while it was mainly 1 and 2 level of pain in control group. The percentage of pain in 0 and 1 level in experimental group was higher than that in control group,while the 2 and 3 level was lower than that in control group,and the difference was significant（ P〈0. 05）. The first labor duration of experimental group was shorter than that in control group（ P〈0. 05）. The rate of cesarean section in experimental group was lower than that in control group（ P〈0. 05）. There was no significant deference in postpartum hemorrhage and asphyxia of newborns between the two groups. Conclusion Spinal-epidural anesthesia in painless childbirth can reduce labor pain and decrease delivery time effectively. The method was safe and feasible,and it should be widely used in clinic.