腰硬联合麻醉与硬膜外麻醉用于分娩镇痛效果的比较

Comparison of effect of combined spinal epidural anesthesia and epidural anesthesia for labor analgesia

目的:比较腰硬联合麻醉与硬膜外麻醉在分娩镇痛中的效果。方法:收治分娩镇痛产妇60例,随机分为腰硬联合组(Ⅰ组)和硬膜外组(Ⅱ组),比较两组麻醉效果。结果:两组新生儿出生后1、5、10 min Apgar评分差异无统计学意义(P>0.05)。与镇痛前比较,Ⅰ组产妇较Ⅱ组在注入首剂量后3 min、5 min、10 min时VAS评分明显降低(P<0.05);15 min时Ⅱ组达到满意镇痛效果,两组比较,VAS评分差异无统计学意义(P>0.05)。两组产妇第一、二产程及总产程时间比较,差异无统计学意义(P>0.05)。结论:腰硬联合阻滞在分娩镇痛中较硬膜外麻醉镇痛起效快,对产程、新生儿无不良影响。

Objective:To explore the effect of combined spinal epidural anesthesia and epidural anesthesia for labor analgesia.Methods:60 parturients with labor analgesia were selected.They were randomly divided into the combined spinal epidural anesthesia group(Ⅰ group) and the epidural anesthesia group(Ⅱ group).We compared the anesthetic effects between the two groups.Results:There were no significant differences in Apgar score between groups at 1,5 and 10 minutes after birth(P>0.05).Compared with before analgesia,the VAS score of the Ⅰ group was significantly lower compared with the Ⅱ group at 3 minutes,5 minutes,10 minutes after injection first dose(P<0.05).At 15 minutes,the analgesic effect was satisfactory in the Ⅱ group,there was no significant difference in VAS score between groups(P>0.05).There were no statistical significances of the first and second stage of labor and the total labor time of the two groups(P>0.05).Conclusion:Compared with epidural analgesia,the effect of combined spinal epidural block in labor analgesia was rapid,and it had no adverse effect on the labor process and the newborn.