腰硬联合麻醉在无痛分娩中的应用效果探讨

Discussion on the Application Effect of Combined Spinal Epidural Anesthesia in Painless Delivery

目的 探讨腰硬联合麻醉在无痛分娩中的应用效果。方法 选取2019年7月至2020年12月在我院行无痛分娩的120例产妇,随机分为对照组和研究组各60例。对照组采用硬膜外麻醉镇痛,研究组采用腰硬联合麻醉镇痛,比较两组的分娩疼痛程度、产程时间及不良妊娠结局。结果 研究组第一产程、第二产程、第三产程VAS评分均明显低于对照组(P<0.05)。两组第一产程、第二产程、第三产程时间比较,差异无统计学意义(P>0.05)。研究组不良妊娠结局发生率为1.67%,明显低于对照组的11.67%(P<0.05)。结论 腰硬联合麻醉在无痛分娩中的应用效果较好,可有效缓解产妇的疼痛程度,保障母婴安全,值得临床推广应用。

Objective To explore the application effect of combined spinal epidural anesthesia in painless delivery.Methods 120 puerperae with painless delivery in our hospital from July 2019 to December 2020 were selected and randomly divided into control group and study group,with 60 cases in each group.The control group received epidural anesthesia for analgesia,and the study group received combined spinal epidural anesthesia for analgesia.The delivery pain degree,labor time and adverse pregnancy outcomes were compared between the two groups.Results The VAS scores of first stage,second stage and third stage of labor in the study group were significantly lower than those in the control group(P<0.05).No statistical difference was found in the labor time of first stage,second stage and third stage between the two groups(P>0.05).The incidence of adverse pregnancy outcomes in the study group was 1.67%,significantly lower than 11.67% in the control group(P<0.05).Conclusions Combined spinal epidural anesthesia has better application effect in painless delivery,and can effectively relieve the pain degree of puerperae,and ensure the safety of mothers and infants,which is worthy of clinical promotion and application.