蛛网膜下腔-硬膜外联合阻滞麻醉配合Doula式分娩在分娩镇痛中的疗效观察  

RELIEVING OF LABOR PAIN BY USING SUBARACHNOID-EPIDURAL ANALGESIA COMBINED WITH DOULA DELIVERY

作　　者：王秀芹 

机构地区：[1]东营市人民医院,东营市257091

出　　处：《滨州医学院学报》2001年第5期435-436,共2页Journal of Binzhou Medical University

摘　　要：目的 :探讨一种安全有效的分娩镇痛方法。方法 :采用蛛网膜下腔 -硬膜外腔联合阻滞麻醉并配合Doula式分娩 ,用于 1 0 0例进入活跃期的初产妇作为观察组 ,将单纯采用 Doula式分娩的 1 0 0例初产妇作为对照组 ,比较两组的镇痛效果及其对产科质量的影响。结果 :两组镇痛效果有极显著性差异 ( P<0 .0 1 ) ,产程时间亦有显著性差异 ( P<0 .0 5 ) ,而分娩方式、产后出血量、胎儿窘迫及新生儿窒息发生率无显著性差异 ( P>0 .0 5 )。结论 :联合阻滞麻醉配合 Doula式分娩用于分娩镇痛 ,是一种安全有效的分娩镇痛方法。Objective:To investigate a painless birth method which is safe and effective.Methods:One hundred cases of primigravida were given subarachnoid epidural anesthesia combined with Doula delivery during the active phase of labor(study group).Another group of 100 patients with primigravida in the same period received single Doula delivery (control group).Then the results were compared between two groups ,including analgesic efficacy and obstetric quality.Results:There was extremely significant difference in the analgesic efficacy between two groups ( P<0 01 ).The difference was significant in the mean time of labor course ( P <0 05).The incidences of delivery mode,postpartum hemorrhage,fetal distress,and neonatal asphyxia were similar ( P >0 05).Conclusion:The subarachnoid epidural anesthesia combined with Doula delivery is a safe and effective analgesic method for labor pain.

关 键 词：联合阻滞 分娩镇痛 麻醉 DOULA式分娩 

分 类 号：R614.4[医药卫生—麻醉学] R714.3[医药卫生—外科学]