硬膜外阻滞下无痛分娩的临床体会

Clinical Experience of Painless Labor under Epidural Block

目的关注硬膜外阻滞下无痛分娩的效果及此法对产程和母婴的影响。方法将2016-2017年襄阳职业技术学院附属医院麻醉科与妇产科共同参与的50例待产产妇随机均分为两组(观察组和对照组),观察组采用硬膜外腔持续给药用于无痛分娩,对照组则是传统助产流程,观察分析两组镇痛效果、产程时间、分娩方式及新生儿Apgar评分情况有无差异。结果观察组比对照组镇痛效果明显、产程缩短、剖宫产率低,两组比较有显著性差异(P<0.01);两组新生儿Apgar评分比较无显著性差异(P>0.05)。结论硬膜外阻滞下无痛分娩的疼痛阻滞完善,加速了产程的进展,降低了剖宫产率,对母婴均无不良影响。

Objective： To observe the effect of painless labor under epidural block and the effect of this method on labor and mother and infant. Methods： a total of 50 parturient women who were in the department of Anesthesia and Obstetrics and Gynecology, the Affiliated Hospital of Xiangyang Vocational and Technical Col- lege, from 2016 to 2017 were randomly divided into two groups （observation group and control group）. In the observation group, the epidural cavity was used continuously for painless delivery, while the control group was a traditional midwifery process. There was no difference between the two groups of analgesic effect, time of la- bor, mode of delivery and the Apgar score of the newborn. Results： compared with the control group, the anal- gesic effect of the two groups was significantly different （P〈O.01）, and there was no significant difference in the Apgar score of the two groups （P〉O.05）. Conclusion： the pain block of painless labor under epidural block has accelerated the progress of labor, reduced the rate of cesarean section, and has no adverse effects on both mothers and infants.