持续硬膜外麻醉在分娩镇痛中的研究  

Study on Continuous Epidural Anesthesia in Labor Analgesia

作　　者：郑凯 ZHENG Kai(Department of Anesthesiology,Laiwu Iron and Steel Group Co.,Ltd.Laiwu,Shandong Province,271126 China)

机构地区：[1]莱芜钢铁集团有限公司医院麻醉科,山东莱芜271126

出　　处：《中外医疗》2020年第18期56-58,共3页China & Foreign Medical Treatment

摘　　要：目的探讨持续硬膜外麻醉在分娩镇痛中的应用效果。方法以该院为单位,在2018年1月—2019年1月期间,便利选取初产、头位、单胎且足月孕妇80例,将其依据随机数字表法均分为两组,观察组40例采取持续硬膜外自控泵入阻滞麻醉的方法实施分娩镇痛,对照组40例没有采取任何镇痛措施,对比两组产妇分娩方式、产程及母婴并发症发生情况。结果观察组分娩活跃期时间、第2产程时间相比对照组,均明显偏短(P<0.05)。观察组阴道分娩率(87.50%)明显高于对照组(70.00%)(χ^2=3.86,P<0.05)。两组产后出血、新生儿窒息及胎儿窘迫发生率比较,差异无统计学意义(P>0.05)。结论产妇采用持续硬膜外麻醉方法实施分娩镇痛,效果好,不仅能降低剖宫产率,而且还能缩短产程活跃期、第二产程时间,对母婴有较小的影响,临床应用价值突出。Objective To explore the effect of continuous epidural anesthesia on labor analgesia.Methods Taking this hospital as the unit,from January 2018 to January 2019,80 pregnant women with primary birth,head position,single birth and full term were conveniently selected and divided into two groups according to the random number table method.The observation group of 40 patients underwent continuous epidural self-controlled pumping block anesthesia for labor analgesia.Forty patients in the control group did not take any analgesic measures.Compared the delivery methods,labor process and the incidence of maternal and child complications between the two groups.Results Compared with the control group,the time of active part of delivery and the time of the second stage of labor were significantly shorter(P<0.05).The vaginal delivery rate in the observation group(87.50%)was significantly higher than that in the control group(70.00%)(χ^2=3.86,P<0.05).There was no statistically significant difference in the incidence of postpartum hemorrhage,neonatal asphyxia and fetal distress between the two groups(P>0.05).Conclusion Maternal continuous epidural anesthesia is used for labor analgesia,which has a good effect.It can not only reduce the cesarean section rate,but also shorten the active period of labor and the time of the second labor.It has a small impact on mother and infant,and has obvious clinical value.

关 键 词：持续硬膜外麻醉 分娩镇痛 分娩活跃期 母婴并发症 

分 类 号：R714[医药卫生—妇产科学]