硬膜外阻滞分娩镇痛50例临床分析  

Clinical analysis of 50 labor pain relief by epidural anesthesia

作　　者：韩德会[1] 崔玉兰[1] 姜玉萍[2] 

机构地区：[1]安徽省怀远县中医院妇产科,233400 [2]安徽省怀远县中医院麻醉科,233400

出　　处：《淮海医药》2009年第5期387-388,共2页Journal of Huaihai Medicine

摘　　要：目的分析硬膜外阻滞对分娩疼痛的镇痛效果及对产程、母婴情况的影响。方法采用罗哌卡因、芬太尼、硬膜外阻滞麻醉对50例产妇行分娩镇痛作为观察组,对同期未采用分娩镇痛进入产程的52例产妇作为对照组,比较2组产妇对疼痛的反应、产程时间、分娩方式、母婴情况。结果2组产妇对分娩疼痛的反应差异有非常显著性(P<0.01),总产程时间、分娩方式、产后出血、胎儿窘迫及新生儿窒息发生率比较差异无显著性(P>0.05),2组剖宫产率比较差异有显著性(P<0.05),观察第二产程有延长趋势。结论硬膜外阻滞用于分娩镇痛临床效果可靠,对母婴无不良影响,在一定程度上降低了剖宫产率,但有第二产程延长趋势,适时指导产妇并使用催产素可预防和纠正。Objective To investigate the pain relief effects by using epidural anesthesia and its influences on the labor course, mothers and infants. Methods 50 primiparae were given ropicavaine and fentinyl for epidural anesthesia during labor （ study group ） while the other 52 cases did not undergo any anesthesia （ control group ）. The patient＇s reflection on the pain, the labor course and the mode of dehvery, incidence of postpartum hemorrhage and neonatal asphyxia were observed and compared in the two growps. Results There was remarkably significant difference in the labor pain reflection between the two groups （P 〈 0.01） ,and significant difference in caesarean＇s rate between the two groups（ P 〈 0.05） ,but no significant difference in the labor course time, the mode of dehvery, the incidence of postpartum hemorrhage, fetal distress and neonatal asphyxia. The labor course of the study group was longer than the control group＇s. Conclusion It is safe and effective to use continuous epidural anesthesia in the clinical labor pain relief. It has no bad influences on the mothers and infants, and can also decrease caesarean rate to a degree. But there is a prolongation for the second stage of labor time,which can be prevented and amended by using oxytocin and instructing mothers properly.

关 键 词：分娩镇痛 硬膜外阻滞 产程 产后出血 

分 类 号：R71[医药卫生—妇产科学]