腰硬联合麻醉与硬膜外麻醉在分娩镇痛中临床应用效果的比较

发布时间：2018-12-31 12:29

【摘要】：目的观察腰硬联合麻醉与硬膜外麻醉方法在临床产妇分娩过程中的镇痛效果,并根据观察结果进行对比分析。方法选取我院2010年1月至2011年1月所收治的产妇80例进行观察,80例产妇必须为自愿要求无痛分娩的产妇,将80例产妇随机分为2组,每组40例,将其中一组设置为对照组,临床分娩过程中给予硬膜外麻醉方法;另一组设置为观察组,临床分娩过程中给予腰硬联合麻醉方法。将2组产妇的分娩方式、产后出血情况、麻醉镇痛起效时间和镇痛效果以及新生儿Apgar评分进行对比分析。结果通过临床对80例产妇给予腰硬联合麻醉与硬膜外麻醉方法进行无痛分娩,2种麻醉方法在分娩中具有良好的镇痛效果,但是腰硬联合麻醉方法的起效时间和镇痛效果要明显高于硬膜外麻醉方法,2组比较具有统计学意义(P0.05)。但是2组产妇在其他方面的比较没有明显的差异,并不具备统计学意义(P0.05)。结论腰硬联合麻醉与硬膜外麻醉在临床产妇分娩过程中都具有良好的镇痛效果,而且对产妇以及新生儿并无明显的副作用出现,但是两者比较,腰硬联合麻醉在临床镇痛起效时间与镇痛效果要比硬膜外麻醉方法明显,值得临床推广与应用。
[Abstract]:Objective to observe the analgesic effect of combined spinal-epidural anesthesia and epidural anesthesia in parturient. Methods from January 2010 to January 2011, 80 cases of puerpera who were admitted to our hospital were selected for observation. 80 cases of parturient who had to voluntarily request painless delivery were randomly divided into 2 groups, 40 cases in each group, and one of them was set as control group. Epidural anesthesia was given during delivery. The other group was set up as observation group and given combined spinal-epidural anesthesia during delivery. Methods of delivery, postpartum hemorrhage, onset time of analgesia, analgesic effect and Apgar score of newborn were compared and analyzed between the two groups. Results 80 cases of parturient were given combined spinal-epidural anesthesia and epidural anesthesia for painless delivery. The two methods had good analgesic effect in labor. But the onset time and analgesic effect of combined spinal-epidural anesthesia were significantly higher than that of epidural anesthesia (P0.05). However, there was no significant difference in other aspects between the two groups (P0.05). Conclusion combined spinal-epidural anesthesia and epidural anesthesia have good analgesic effect during delivery, and there are no obvious side effects on parturient and newborn, but there is a comparison between them. The onset time and analgesic effect of combined spinal-epidural anesthesia is more obvious than that of epidural anesthesia, which is worth popularizing and applying.
【作者单位】：湖南省郴州市中医院;
【分类号】：R714.3

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