腰麻联合硬膜外麻醉应用于产科分娩镇痛的临床效果评价  

Clinical Effect Evaluation of Combined Spinal Anesthesia and Epidural Anesthesia on Obstetric Labor Analgesia

作　　者：刘佰芝 Liu Bai-zhi(People's Hospital of Fei County,Linyi 276000,Shandong Province,China)

机构地区：[1]费县人民医院,山东临沂276000

出　　处：《中国社区医师》2022年第3期16-18,共3页Chinese Community Doctors

摘　　要：目的:对腰麻联合硬膜外麻醉应用于产科分娩镇痛的临床效果进行评价。方法:2019年4月-2020年4月费县人民医院收治产妇72例,随机分为两组,其中对照组36例,观察组36例。对照组实施硬膜外麻醉;观察组实施腰麻及硬膜外联合麻醉。比较两组产妇分娩镇痛效果。结果:观察组麻醉起效时间、麻醉药物用量、第一产程时间及第二产程时间均明显低于对照组,差异有统计学意义(P<0.05)。两组镇痛评分比较,差异无统计学意义(P>0.05)。结论:在产科分娩镇痛过程中联合应用腰麻、硬膜外麻醉的效果显著,能明显缩短麻醉起效时间,减少麻醉药用量,保证第一产程及第二产程的安全性。Objective:To evaluate the clinical effect of combined spinal anesthesia and epidural anesthesia in obstetric labor analgesia.Methods:From April 2019 to April 2020,72 parturients who were admitted to the People's Hospital of Fei County were randomly divided into two groups:36 cases in control group and 36 cases in observation group.The control group was given epidural anesthesia.The observation group received combined spinal anesthesia and epidural anesthesia.The analgesic effects of parturient delivery were compared between the two groups.Results:In the observation group,the onset time of anesthesia,the dosage of narcotic drugs,the time of the first stage of labor and the time of the second stage of labor were significantly lower than those in the control group,the difference was statistically significant(P<0.05).There was no significant difference in the score of analgesia between the two groups(P>0.05).Conclusion:In the process of obstetric labor analgesia,the effect of combined application of spinal anesthesia and epidural anesthesia is significant,which can significantly shorten the onset time of anesthesia,reduce the dosage of narcotic drugs,and ensure the safety of the first and second stages of labor.

关 键 词：腰麻 硬膜外麻醉 产科 分娩镇痛 药物用量 

分 类 号：R714.3[医药卫生—妇产科学]