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目的探讨腰硬联合麻醉行无痛分娩对产妇及新生儿的影响。方法 80例产妇,按照随机数字法分为对照组和观察组,各40例。对照组进行自然分娩,观察组进行腰硬联合麻醉无痛分娩,观察产妇产程进展及时间、产后出血以及分娩过程中疼痛视觉模拟评分,并统计新生儿出生时、出生后1、5 min Apgar评分。结果两组宫口开全时间及产后出血量比较差异无统计学意义(P>0.05);观察组自觉疼痛程度显著低于对照组(P<0.05);两组新生儿出生时、出生后1、5 min Apgar评分均正常,比较差异无统计学意义(P>0.05)。结论腰硬联合麻醉无痛分娩其镇痛效果确切,不影响产妇宫缩,对新生儿出生Apgar评分无影响,是一种较为理想的无痛分娩方法 ,值得临床推广。
Objective To investigate the effect of painless labor on the mothers and newborns in the combined spinal and epidural anesthesia. Methods 80 maternal women were divided into control group and observation group according to random number method, 40 cases each. The control group was given natural childbirth. The observation group was given painless labor combined with spinal and epidural anesthesia. The progress and time of labor, the postpartum hemorrhage and pain visual analogue score during labor were observed. The newborn’s birth and birth 1,5 minutes Apgar score . Results There was no significant difference between the two groups in the open time of cervix and the amount of postpartum hemorrhage (P> 0.05). The degree of conscious pain in the observation group was significantly lower than that in the control group (P <0.05) , Apgar score at 5 min were normal, the difference was not statistically significant (P> 0.05). Conclusion Painless labor combined with spinal anesthesia has the exact analgesic effect, does not affect the uterine contractions and has no effect on the neonatal Apgar score. It is an ideal painless delivery method and worthy of clinical promotion.