腰麻及硬膜外麻醉联合应用于产科分娩镇痛的临床探讨  

Clinical Study on Combined Application of Lumbar Anesthesia and Epidural Anesthesia in the Labor Analgesia in the Department of Obstetrics

作　　者：邹建方 

机构地区：[1]山东省威海卫人民医院麻醉科,山东威海264200

出　　处：《中外医疗》2017年第14期104-106,共3页China & Foreign Medical Treatment

摘　　要：目的探讨腰麻及硬膜外麻醉联合应用于产科分娩镇痛的临床效果。方法回顾分析2015年6月—2016年7月在该院分娩的80名孕妇临床资料,将其随机分为对照组和观察组,每组40名产妇,对照组采用硬膜外麻醉,观察组在对照组的基础上联合腰麻,观察对比两组产妇分娩疼痛度。结果观察组产妇麻醉起效时间(3.51±1.22)min,明显短于对照组(10.11±4.56)min,麻醉药物用量(9.70±4.09)mg,明显少于对照组(19.34±6.79)mg,差异有统计学意义(P<0.05);观察组产妇第一产程(227.3±104.1)min、第二产程时间(32.55±4.90)min,明显短于对照组(280.0±112.3)min、(49.45±7.09)min,差异有统计学意义(P<0.05);观察组产妇镇痛评分(2.99±1.03)分,与对照组(2.91±0.89)分对比,差异无统计学意义(P>0.05)。结论腰麻及硬膜外麻醉联合应用于产科分娩镇痛效果理想,且起效快,用药量少,促进产程的顺利进行,有效确保了母婴的安全。Objective To explore the clinical effect of lumbar anesthesia and epidural anesthesia in the labor analgesia in the department of obstetrics.Methods 80 cases of delivery women giving birth in our hospital from June 2015 to July 2016 were selected and randomly divided into two groups with 40 cases in each,the control group adopted the epidural anesthesia,while the observation group adopted the lumbar anesthesia on the basis of the control group,and the delivery pains degree of the two groups was observed and compared.Results The anesthesia onset time in the observation group was obviously shorter than that in the control group [(3.51±1.22)min vs(10.11±4.56)min],and the anesthesia drug dose was obviously fewer than that in the control group [(9.70±4.09)mg vs(19.34±6.79)mg],and the difference was statistically significant(P<0.05),and the first labor course and second labor course in the observation group were obviously shorter than those in the control group,[(227.3±104.1)min,(32.55±4.90)min vs(280.0±112.3)min,(49.45±7.09)min],and the differences were statistically significant(P<0.05),and the difference in the analgesia score between the observation group and the control group was not statistically significant,[(2.99 ±1.03)scores vs(2.91 ±0.89)scores],(P>0.05).Conclusion The effect of combined application of lumbar anesthesia and epidural anesthesia in the labor analgesia in the department of obstetrics is ideal with rapid onset and few dosages,which can promote the successful operation of labor course and effectively ensure the maternal and infant safety.

关 键 词：腰麻 硬膜外麻醉 产科分娩 

分 类 号：R71[医药卫生—妇产科学]