硬膜外麻醉在产科分娩镇痛中的观察

Epidural Anesthesia in Obstetric Labor Analgesia

目的研讨产科分娩产妇采取硬膜外麻醉镇痛的临床价值。方法选择我院产科收治于2018年1月至12月的150例产妇参与实验观察,并按照有无分娩镇痛分配产妇入组,Ⅰ组(n=75)未实施分娩镇痛,Ⅱ组(n=75)给予持续硬膜外麻醉镇痛处理,分析评估两组的分娩镇痛效果、总产程时间、产后出血量及阴道助产率等指标。结果两组产妇的总产程时间、产后出血量、阴道助产率与新生儿窒息率对比,无统计学意义(P>0.05),但剖宫产率比较,Ⅱ组显著低于Ⅰ组,有统计学意义(P<0.05)。对比Ⅰ组,Ⅱ组产妇的镇痛效果明显有优势,有统计学意义(P<0.05)。结论对产科产妇实施持续硬膜外麻醉,分娩镇痛效果确切,且对产程进展无明显影响,不会增加产后出血量、阴道助产率及新生儿窒息率,值得推荐。

Objective To study the clinical value of epidural analgesia for obstetric parturients.Methods Choose our hospital obstetric treated from January 2018 to December of 150 cases of women to participate in the experimental observation,and in accordance with the presence of maternal labor analgesia distribution into the group,groupⅠ(n=75)not the implementation of labor analgesia,groupⅡ(n=75)give continuous epidural analgesia treatment,evaluation of two groups of labor analgesia effect,the total labor time,postpartum blood loss,vaginal midwifery rate index,etc.Results The total labor time,two groups of maternal postpartum haemorrhage amount,vaginal birth rate and neonatal asphyxia rate,no statistical significance(P>0.05),but the rate of cesarean section,groupⅡsignificantly below groupⅠ,with statistical significance(P<0.05).Comparing groupⅠ,the analgesic effect of maternal groupⅡwas obviously have an advantage,with statistical significance(P<0.05).Conclusion Continuous epidural anesthesia for obstetric women has definite analgesic effect,and has no obvious effect on the progress of labor process.It will not increase the amount of postpartum hemorrhage,vaginal delivery rate and neonatal asphyxia rate,which is worthy of recommendation.