蛛网膜下隙并硬膜外隙麻醉对分娩的镇痛效果  

THE PAINLESS DELIVERY EFFECT ACHIEVED BY ADMINISTERING COMBINED SUBARACHNOID AND EPIDURAL ANESTHESIA

作　　者：许茜 吴运平[1,2] 

机构地区：[1]青岛市妇幼保健院妇产科 [2]青岛医学院物理学教研室

出　　处：《齐鲁医学杂志》1999年第2期107-108,共2页Medical Journal of Qilu

摘　　要：目的探讨联合麻醉对产妇分娩的镇痛效果及对产科质量的影响。②方法对１００例产妇分娩时实施蛛网膜下腔和硬膜外腔联合麻醉（观察组），并与１００例未实施麻醉者（对照组）进行比较。③结果观察组的镇痛效果明显优于对照组（ｕｃ＝１２．２４，Ｐ＜０．０１），但器械助产率明显增加（χ２＝４．５７，Ｐ＜０．０５）。两组产后出血、胎儿宫内窘迫、新生儿窒息及剖宫产率比较无明显差异（χ２＝０．００１～０．０１９，Ｐ＞０．０５）。④结论联合麻醉能使产妇在完全无痛下完成分娩，且对产科质量无影响，为目前无痛分娩的一种好方法。Objective\ To study the pain relief effect of painless labour and its effect on obstetric quality.\ Methods 100 pregnant women were administered combined subarachnoid and epidural anesthesia during labour and compared with another 100 control pregnant women who did not receive the combined anesthesia.\ Results\ The effect of pain relief of the anesthesia group was much better than that of the control group ( u c=12.24,P <0.01), but the incidence of forceps help delivery increased significantly ( χ 2=4.57,P <0.05). There was no difference in the incidence of postpartum hemorrhage, fetal distress, neonatal asphyria and cesarean section between the two groups ( χ 2=0.001-0.019,P >0.05).\ Conclusion\ The combined anesthesia can provide the pregnant women with complete pain relief during labour and has no effect on obstetric quality.So it is a good method of painless labour at present.

关 键 词：分娩 镇痛 硬膜外隙麻醉 蛛网膜下隙麻醉 

分 类 号：R714.3[医药卫生—妇产科学] R614.4[医药卫生—临床医学]