腰硬联合麻醉和硬膜外麻醉在分娩镇痛中的临床效果对比

Comparison of Clinical Effects of Combined Spinal and Epidural Anesthesia in Labor Analgesia

目的对比腰硬联合麻醉和硬膜外麻醉在分娩镇痛中临床效果。方法选择2018年6月—2019年6月期间我院收治的86例产妇作为观察对象,按麻醉方式的不同将其分为两组,予以硬膜外麻醉的43例产妇纳入对比组;予以腰硬联合麻醉的43例产妇纳入研究组。比较两组麻醉前、研究组麻醉后5 min、麻醉后10 min、麻醉后30 min及麻醉后60 min的视觉模拟评分法(VAS)评分及总产程时间、镇痛起效时间、镇痛维持时间。结果麻醉前,两组的VAS评分无统计学差异(P>0.05);麻醉后,研究组麻醉后5 min、麻醉后10 min、麻醉后30 min及麻醉后60 min的VAS评分均低于对比组(P<0.05);研究组总产程时间、镇痛起效时间短于对比组,且镇痛维持时间比对比组长(P<0.05)。结论使用腰硬联合麻醉帮助产妇分娩镇痛,镇痛起效时间短,镇痛维持时间更长,能有效减轻产妇的疼痛,缩短总产程时间。

Objective To compare the clinical effect of combined spinal and epidural anesthesia in labor analgesia.Methods 86 cases of parturients admitted to our hospital from June 2018 to June 2019 were selected as the objects of observation.According to the different anesthesia methods,they were divided into two groups.43 cases of parturients who were given epidural anesthesia were included in the control group;43 cases of parturients who were given combined spinal and epidural anesthesia were included in the study group.The VAS scores,total labor time,onset time and maintenance time of analgesia were compared between the two groups before anesthesia,5 minutes after anesthesia,10 minutes after anesthesia,30 minutes after anesthesia and 60 minutes after anesthesia.Results Before anesthesia,there was no significant difference in VAS score between the two groups(P>0.05);after anesthesia,the VAS score of the study group was lower than that of the control group in 5 minutes,10 minutes,30 minutes and 60 minutes after anesthesia(P<0.05);the total duration of labor and the onset time of analgesia in the study group were shorter than that of the control group,and the duration of analgesia was longer than that of the control group(P<0.05).Conclusion Combined spinal and epidural anesthesia can help the parturient to relieve pain and shorten the total labor time.