硬膜外阻滞麻醉镇痛对产妇分娩的影响

Effects of Epidural Anesthesia Analgesia on Childbearing

目的:观察硬膜外阻滞麻醉镇痛对产妇分娩的影响。方法:将197例产妇按随机数字表法分为观察组(95例)和对照组(102例)。对照组产妇自然分娩,观察组在对照组基础上加用硬膜外阻滞麻醉镇痛。比较两组产妇的新生儿阿氏(Apgar)评分(5min)、行为神经评分及产妇视觉模拟(VAS)评分,母婴结局及不良反应发生率。结果:两组产妇的新生儿Apgar评分及行为神经评分比较,差异无统计学意义(P>0.05);观察组产妇VAS评分及剖宫产率显著低于对照组,差异均有统计学意义(P<0.05);观察组产妇产后出血、阴道助产及新生儿窒息率比较,差异无统计学意义(P>0.05)。观察组产妇皮肤瘙痒、恶心呕吐、头痛、下肢发麻等不良反应经对症处理后好转。结论:硬膜外阻滞麻醉用于分娩镇痛对新生儿无影响,能明显减轻产妇疼痛,且安全性较好。

OBJECTIVE：To observe the effects of epidural anesthesia analgesia on childbearing. METHODS：197 delivery woman were randomly divided into observation group（95 cases）and control group（102 cases）. Control group was given natural childbirth,and observation group was additionally given epidural anesthesia analgesia. Neonatal Apgar score（5 min）,behavioral neurological score and VAS,mother-infant situation,the incidence of ADR were compared between 2 groups. RESULTS：There was no statistical significance in neonatal Apgar score and behavioral neurological score between 2 groups（P〉0.05）;VAS score and the rate of cesarean section in observation group was significantly lower than in control group,with statistical significance（P〈0.05）. There was no statistical significance in the incidence of postpartum hemorrhage,vaginal midwifery and asphyxia neonatorum（P〉0.05）. ADR as itchy skin,nausea and vomiting,headache,limb numbness of observation group were improved after symptomatic treatment. CONCLUSIONS：The epidural anesthesia analgesia have no effect on childbearing and can relieve labor pain with good safety.