200例椎管内阻滞麻醉用于分娩镇痛的效果观察  

Efficacy of the intrathecal block anesthesia on pain-relief during delivery in 200 cases

作　　者：刘翠娥 胡宗仁 

机构地区：[1]湖南省祁阳县第二人民医院妇产科,426100 [2]湖南祁阳县妇幼保健院儿科

出　　处：《检验医学与临床》2010年第7期602-603,共2页Laboratory Medicine and Clinic

摘　　要：目的观察椎管内阻滞麻醉用于分娩镇痛的效果和对产妇及新生儿的影响。方法随机选取400例产妇分为椎管内阻滞组和对照组,每组各200例。在分娩过程中,椎管内阻滞组给予蛛网膜下腔加硬膜外腔联合注入芬太尼和布比卡因;对照组未用任何镇痛药物。观察2组产妇的镇痛效果、产程时间、分娩方式、产后出血量及新生儿窒息情况。结果(1)镇痛效果比较:椎管内阻滞组镇痛分级0级为176例,对照组为0例,两组比较差异有统计学意义(P<0.01)。(2)产程时间比较:第一产程和总产程时间,椎管内阻滞组短于对照组(P<0.05),第二产程时间椎管内阻滞组长于对照组,但差异无统计学意义(P>0.05)。(3)剖宫产术后出血量比较:对照组为(259±28)mL,椎管内阻滞组(239±89)mL,两者比较差异无统计学意义(P>0.05),(4)分娩方式比较:椎管内阻滞组经阴道助产分娩16例,对照组为8例(P>0.05),(5)新生儿窒息率比较:2组新生儿窒息率比较,差异无统计学意义(P>0.05)。结论椎管内阻滞麻醉用于分娩有确切的镇痛效果,对产妇及新生儿无明显不良反应,可用于分娩镇痛。Objective To observe the intrathecal block anesthesiars effect on the relieving pain during delivery and the influence on the deliving women and the newborn babies. Methods 400 lying--in wemen were selected and divided into two groups randomly, in which one group was with intrathecal block anesthesia and the other withuot, each having 200 instances. During the parturition,the constrasters didn＇t give any analgesic drugs, while the analgesic effect ,the time in stage of labor,parturition ways, bloodsplit quantity and the suffocation of the newborns of both the two groups were observed. Results （1） the effect of relieving pain： the intrathecal block groups＇relieving pain was 176 instances, while the contrasters＇ was zero, so, in the two groups there existed great difference（P〈0.01）. （2） the stage of labor time;at the first labor stage and the total stage of labor,the time of the intrathecal block groups was shorter than that of the contrasters（P〈0. 05）,but longer in the second stage of labor. So there existed no difference in the two groups（P〉0.05）. （3）the bloodletting quantity after operation： the contrasters were（259 ± 28） mL and the intratheeal block groups were（239±89）, so there existed no difference（P〉0.05）. （4）the delivery ways： the intrathecal block groups had 16 cases by vagina delivery, while the contrasters were 8 cases （P〉 0.05）. （5）the suffocation of the newborns： there was no difference in the two groups. Conclusion The intrathecal block anesthesia had obvious effect on relieving the pain during delivery and had no side effect on delivery women and newborns. It can also be used in the reliving pain of delivery.

关 键 词：分娩发作 产科镇痛 产科麻醉 硬膜外麻醉 

分 类 号：R714.3[医药卫生—妇产科学] R971.2[医药卫生—临床医学]