双侧阴部神经阻滞麻醉在自然分娩中的应用  

Use of Bilateral Pudendal Nerve Block Anesthesia in Vaginal Delivery

作　　者：郝岚[1] 闫成美[2] 郜素敏[1] 李挺芳[1] 

机构地区：[1]南京军区福州总医院妇产科 [2]南京军区福州总医院护理部,福建福州350025

出　　处：《解放军护理杂志》2005年第1期18-19,共2页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨双侧阴部神经阻滞麻醉在自然分娩第二产程中镇痛的效果。方法将宫口开全后采用双侧阴部神经阻滞麻醉自然分娩的初产妇1327例为观察组,对照组为2002年1月至2003年1月我院住院自然分娩初产妇1018例,只有行会阴切开者才给予左侧阴部神经阻滞及局部麻醉。分别观察第二产程疼痛程度,会阴完整、裂伤、侧切情况及产妇与医护配合效果。结果观察组第二产程疼痛程度明显低于对照组,会阴完整率明高于对照组,产妇与医护配合好于对照组。结论双侧阴部神经阻滞麻醉可充分松弛会阴部组织,缩短第二产程,缩短缝合时间,有利于减少产妇痛苦,及加强产程中产妇与医护的配合,从而缩短第二产程。Objective To evaluate the analgesic effect of bilateral pudendal nerve block anesthesia in the second stage of vaginal delivery. Methods 1 327 primiparae whose cervixes were almost completely open and who received bilateral pudendal nerve block anesthesia for analgesia were used as the study group. The control group included primiparae who underwent vaginal delivery between January 2002 and January 2003 and in whom left pudendal nerve block anesthesia and local anesthesia were used only when perine-otomy was performed. Pain degree during the second stage of labor, integrity, rupture and lateral incision in the perineum, and cooperativeness between the patient and the nurse were assessed. Results Compared with the control group, pain degree during the second stage of labor in the study group was lower; the perineal integrity rate was higher; the perineal rupture rate was lower, and the patient-nurse cooperation was better. Conclusion Bilateral pudendal nerve block anesthesia can fully relax the perineal tissue and shorten the second stage of labor and suturing time, thus facilitating pain relief and patient-nurse cooperation.

关 键 词：双侧阴部神经阻滞麻醉 第二产程 自然分娩 对照组 产妇 观察 疼痛程度 结论 完整率 目的 

分 类 号：R714.3[医药卫生—妇产科学] R473.71[医药卫生—临床医学]