无痛分娩中实施持续硬膜外麻醉对产程的影响探究  

The clinical influence of continuous epidural anesthesia in the process of labor in painless delivery

作　　者：毛小英[1] 王群丽[1] 严洪亮[2] 徐瑾[1] 

机构地区：[1]浙江省常山县人民医院妇产科,浙江常山324200 [2]浙江省常山县人民医院麻醉科,浙江常山324200

出　　处：《健康研究》2014年第5期515-517,共3页Health Research

摘　　要：目的探究持续硬膜外麻醉在无痛分娩实施中的临床疗效及对产程的影响。方法 820例产妇分为观察组和对照组,观察组产妇在分娩过程中应用持续硬膜外麻醉,对照组产妇未采用任何镇痛方法,对比分析2组产妇的镇痛效果、分娩方式、产后出血、产程及并发症等。结果观察组产妇镇痛总有效率为95.12%,疼痛程度为0级314例(76.59%),对照组0级38例(9.27%),2组0级疼痛差异有统计学意义(χ2=319.178,P<0.05);观察组产妇产程及分娩顺产率均显著优于对照组(P<0.05);产后出血例数显著少于对照组(P<0.05),而胎儿窒息、胎儿宫内窘迫等不良症状的差异不显著(P>0.05)。结论持续硬膜外麻醉可以有效缓解产妇分娩时的疼痛,达到无痛分娩目的。Objective To understand the clinical influence of continuous epidural anesthesia in the process of labor during painless delivery. Method 820 primipara were chosen as the subjects for study and randomly divided into an experimental group and a control group. The primipara in the experimental group were administered with continuous epidural anesthesia while the control group were administered without. The data,namely,the analgesic effect,delivery methods,postpartum hemorrhage,labor and complications,of both groups were collected and analyzed. Findings The total analgesic effect of the experimental group was 95. 12% and level 0 was 76. 59%. The level 0 of the control group was 9. 27%. There were significant differences in analgesic effect（P〈 0. 05）. The labor and childbirth of the experimental group were significantly better than that of the control group（ P〈 0. 05）. The postpartum hemorrhage observed in the experimental group was significantly less than in the control group（ P〈 0. 05）. There was no significant difference in adverse symptoms such as fetal asphyxia and fetal distress（ P〈 0. 05）. Conclusion The continuous epidural anesthesia can effectively reduce the pain of puerpera during childbirth,resulting in painless delivery.

关 键 词：持续硬膜外麻醉 分娩 产程 临床疗效 

分 类 号：R714.3[医药卫生—妇产科学]