腰硬联合麻醉用于初产妇无痛分娩中对产妇应激指标的影响

Impact of Combined Spinal-Epidural Anesthesia on Maternal Stress Indicators during Painless Delivery in Primiparas

目的分析腰硬联合麻醉用于初产妇无痛分娩的效果。方法选取我院2021年1月至2023年6月收治的初产妇98例,随机分为腰硬联合组(49例,腰硬联合麻醉)与对照组(49例,硬膜外麻醉),比较两组麻醉剂用量、麻醉起效时间、产程时间、应激反应指标、不良反应。结果腰硬联合组第一产程、第二产程、麻醉起效时间短于对照组,麻醉剂用量低于对照组(P<0.05)。腰硬联合组产后血清去甲肾上腺素(NE)、皮质醇(Cor)水平低于对照组(P<0.05)。腰硬联合组不良反应发生率低于对照组(P<0.05)。结论腰硬联合麻醉用于初产妇无痛分娩中具有起效快、麻醉用量少、产后应激反应轻等优点,且安全性高。

Objective To analyze the effect of combined spinal-epidural anesthesia for painless delivery in primiparas.Methods 98 primiparas admitted to our hospital from January 2021 to June 2023 were randomly divided into combined group(49 cases,combined spinal-epidural anesthesia)and control group(49 cases,epidural anesthesia).The anesthesia dosage,anesthesia onset time,labor duration,stress response indicators and adverse reactions were compared between two groups.Results The first stage and second stage of labor time,and anesthesia onset time in the combined group were shorter than those in the control group,and the anesthesia dosage was lower than that in the control group(P<0.05).The postpartum serum norepinephrine(NE)and cortisol(Cor)levels of the combined group were lower than those of the control group(P<0.05).The incidence of adverse reactions in the combined group was lower than that in the control group(P<0.05).Conclusions Combined spinal-epidural anesthesia for painless delivery in primiparas has the advantages of rapid onset,less anesthesia dosage,mild postpartum stress reaction,and high safety.