蛛网膜下腔-硬膜外联合阻滞麻醉用于分娩镇痛206例分析  

Clinical analysis of 206 cases of labor pain relief using combined subarachnoid epidural analgesia

作　　者：汤美芳[1] 韩玉兰[1] 丁守生[1] 王清图[1] 

机构地区：[1]山东省潍坊市妇幼保健院,261011

出　　处：《中国实用妇科与产科杂志》2000年第2期91-92,共2页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的　探讨分娩镇痛的效果及对产程、母婴状况的影响。方法　采用蛛网膜下腔 -硬膜外联合阻滞(CSEA)用于分娩镇痛的产妇 2 0 6例作为观察组 ,将未采用任何分娩镇痛药物而进入产程的产妇 2 0 6例作为对照组 ,分别观察产程时间、分娩方式、产后出血、胎儿窘迫及新生儿窒息情况。结果　两组产程活跃期比较 ,有极显著性差异 (P <0 0 1) ;两组分娩方式比较有显著性差异 (P <0 0 5 ) ;两组胎儿窘迫、新生儿窒息及产后出血发生率比较 ,无显著性差异 (P >0 0 5 )。结论　CSEA用于分娩镇痛 ,疼痛阻滞完善 ,加速了产程活跃期及第二产程的进展 ,降低了剖宫产及阴道难产率 。Objective\ To investigate the pain relief effects of combined subarachnoid epidural analgesia and its infuences on the labor course and both mothers and infants.Methods\ 206 pregnant women were administered combined subarachnoid and epidural analgesia during labor(study group).206 pregnant women were not administered any labor analgesia(control group).The labor course,the mode of delivery and incidence of postpartum hemorrhage,fetal distress and neonatal asphyxia were observed in the two groups respectively.Results\ The difference was effectively significant in the active phase(P<0.05)between the study group and the control group while there was no significant difference in the incidence of postpartum hemorrhage,fetal distress and neonatal asphyxia(P>0.05).Conchusion\ The analgesic delivery of combined subarachnoid and epidural analgesia is safe and effective,which has no influences on the mothers and infants.It can also accelerate the progress of the active phase and the second stage of labor,and decrease the rate of cesarean section and vaginal dystocia.

关 键 词：蛛网膜下腔 分娩 镇痛 硬膜外麻醉 

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