摘要
目的比较无痛分娩中应用腰硬联合麻醉、硬膜外麻醉的临床效果。方法选取2016年7月～2017年12月本院收治的200例行无痛分娩产妇,随机分为对照组与观察组,分别给予硬膜外麻醉、腰硬联合麻醉,比较两组镇痛效果、产后泌乳功能及新生儿Apgar评分。结果观察组分娩后6h、分娩后12h、分娩后24h VAS评分均显著低于对照组,观察组泌乳始动时间早于对照组,两组产后48hPRL浓度显著高于产前,观察组产后48h PRL浓度显著高于对照组,组间比较差异均有统计学意义(P <0.05)。两组新生儿娩出后,1min、5min Apgar评分均无显著差异(P> 0.05)。结论腰硬联合麻醉下,行无痛分娩,可获得良好镇痛效果,产妇产后泌乳功能恢复良好,对新生儿Apgar评分无影响,适于得临床应用。
Objective To compare the clinical effects of combined spinal-epidural anesthesia and epidural anesthesia in painless labor. Methods 200 painless parturients admitted to our hospital from July 2016 to December 2017 were selected and randomly divided into control group and observation group. Epidural anesthesia and combined spinal-epidural anesthesia were given respectively. Analgesic effect, postpartum lactation function and neonatal Apgar score were compared between the two groups. Results The VAS scores of the observation group were significantly lower than those of the control group at 6h, 12h and 24h after delivery. The onset time of lactation in the observation group was earlier than that of the control group. The concentration of 48hPRL in the two groups was significantly higher than that in the prenatal period. The concentration of PRL in the observation group at 48 h after delivery was significantly higher than that in the control group, and the differences between the groups were statistically significant (P < 0.05). There was no significant difference on Apgar score between the two groups at 1min and 5 min after delivery (P > 0.05). Conclusion Painless delivery under combined spinal-epidural anesthesia can achieve good analgesic effect, and the puerperal lactation function is recovered well, and it has no effect on neonatal Apgar score, thus it is suitable for clinical application.
作者
马彦利
MA Yan-li(Zhumadian Traditional Chinese Medicine Hospital, Zhumadian, Henan, 463000, China)
出处
《临床研究》
2019年第5期9-10,共2页
Clinical Research
关键词
腰硬联合麻醉
硬膜外麻醉
无痛分娩
泌乳功能
APGAR评分
combined spinal-epidural anesthesia
epidural anesthesia
painless childbirth
lactation function
apgar score
