腰硬联合麻醉在无痛分娩中的应用

Application of Combined Spinal-epidural Anesthesia in Painless Delivery

目的探讨腰硬联合麻醉在无痛分娩的应用。方法随机抽取2018年2月至2019年2月于我院产科要求无痛分娩产妇80例设为观察组,另随机抽取同期80例常规分娩的产妇,设为对照组,针对两组的镇痛效果、产后2 h出血量、产后首次排尿时间、产后尿储留及新生儿Apgar评分进行观察和比较。结果与对照组相比,观察组镇痛效果显著提高(P<0.05),产后2 h出血量明显减少(P<0.05),而产后首次排尿时间、产后尿储留及新生儿Apgar评分均无显著差别(P>0.05)。结论腰硬联合麻醉应用于分娩中,具有很好的镇痛效果、而且安全性高,对产妇和新生儿无明显伤害,能改善母婴结局。

Objective To investigate the application of combined spinal-epidural anesthesia in painless childbirth.Methods From February 2018 to February 2019,80 painless parturients were randomly selected as observation group,and another 80 routine parturients were randomly selected as control group.The analgesic effect,postpartum 2-hour bleeding volume,postpartum fi rst urination time,postpartum urine retention and neonatal Apgar score were observed and compared between the two groups.Results Compared with the control group,the analgesic effect of the observation group was signifi cantly improved(P<0.05),the amount of postpartum hemorrhage was significantly reduced(P<0.05),but there were no significant differences in the first postpartum urination time,postpartum urine retention and neonatal Apgar score(P>0.05).Conclusion The combined spinal-epidural anesthesia has good analgesic effect and high safety in childbirth.It has no obvious harm to mothers and newborns,and can improve maternal and infant outcomes.