摘要
目的探讨腰硬联合麻醉在无痛分娩中的应用价值。方法选择我院2015年10月至2016年12月收治的80例产妇,随机分为两组各40例,研究组实施腰硬联合麻醉下的无痛分娩,对照组实施自然分娩,比较两组的分娩结局。结果研究组的各产程以及总产程时间均显著少于对照组(P<0.05);研究组的一级疼痛比例显著高于对照组,二级、三级以及四级疼痛比例均显著少于对照组(P<0.05)。两组的胎心率异常率、胎动异常率以及出生后1分钟Apgar评分≤7分比例比较,差异均无统计学意义(P>0.05)。结论腰硬联合麻醉下无痛分娩中可明显减轻产妇的疼痛感,缩短产程时间,且对胎儿无明显影响,安全性较高。
Objective To explore the application effect of combined spinal-epidural anesthesia in painless labor. Methods 80 cases ofpuerperae admitted to our hospital from October 2015 to December 2016 were selected and randomly divided into two groups, with 40 cases in each group. The control group received spontaneous labor, while the study group received painless labor under combined spinal-epidural anesthesia. The delivery outcomes of two groups were compared. Results The duration of each stage of labor and total duration of labor of study group were significantly shorter than those of control group （P〈0.05）. The proportion of grade 1 pain of study group was more than that of control group, and the proportions of grade 2 pain, grade 3 pain and grade 4 pain were significantly lower than those of control group （P〈0.05）. The rate of abnormal fetal heart, rate of abnormal fetal movement, and proportion of neonatal 1-min Apgar score ≤ 7 showed no statistical difference between two groups （P〉0.05）. Conclusions Painless labor under combined spinal-epidural anesthesia can obviously relieve the pain ofpuerperae and shorten the duration of labor, Also, it has high safety with no obvious impact on fetus.
出处
《临床医学工程》
2017年第12期1727-1728,共2页
Clinical Medicine & Engineering
关键词
腰硬联合麻醉
无痛分娩
自然分娩
Combined spinal-epidural anesthesia
Painless labor
Spontaneous labor
