硬膜外麻醉镇痛分娩的临床应用  

Clinical application of epidural anesthesia anodyne labor

作　　者：王凤双[1] 

机构地区：[1]黑龙江省佳木斯市妇幼保健院,154003

出　　处：《中国社区医师》2015年第6期62-62,64,共2页Chinese Community Doctors

摘　　要：目的:观察硬膜外麻醉法缓解分娩镇痛的疗效。方法:2012年2月-2013年4月收治硬膜外麻醉镇痛阴道分娩孕妇74例,作为试验组。选择同一时期自然阴道分娩孕妇80例,作为对照组。观察两组孕妇疼痛级别、产程及母婴状况。结果:试验组镇痛有效率(95.60%)显著优于对照组(2.50%)(P<0.05)。同时观察到试验组顺产率(90.54%)明显高于对照组(75.00%)(P<0.05),平均生产时间(产程)[(463±124)min]显著短于对照组[(603±153)min](P<0.05)。两组产后母婴并发症差异无统计学意义(P>0.05)。结论:硬膜外麻醉镇痛分娩效果显著,具有临床推广价值。Objective:To observe the curative effect of epidural anesthesia method to relieve labor analgesia.Methods:74 vaginal delivery pregnant women with epidural anesthesia analgesia were selected from February 2012 to April 2013 as the experimental group.80 pregnant women with natural vaginal delivery were selected at the same time as the control group.The pregnant woman pain levels,stages of labor maternal and child situations of two groups were observed.Results:The analgesia effective rate of the experimental group was 95.60% ,which was significantly better than 2.5% of the control group(P<0.05).At the same time it observed that the vaginal delivery rate of the experimental group was 90.54%,which was significantly higher than 75% of the control group(P<0.05).The average production time(stage of labor) (463±124)minutes was significantly shorter than(603±153) minutes of the control group(P<0.05).The difference of postpartum maternal and infant complication between two groups was not significant(P>0.05).Conclusion:The painless childbirth that epidural anesthesia anodyne labor has significant effect and clinical popularization value.

关 键 词：无痛分娩 硬膜外麻醉 分娩 

分 类 号：R714.3[医药卫生—妇产科学]