论文部分内容阅读
目的:观察腰麻-硬膜外联合阻滞(CSEA)用于分娩镇痛的临床效果。方法:选择足月妊娠、单胎头位、无头盆不称、ASA分级为Ⅰ-Ⅱ级的初产妇80例,随机分为A、B两组,每组40例。A组采用CSEA用于分娩镇痛;B组为对照组,分娩过程中未用任何镇痛措施。结果:A组产妇用药后VAS评分明显低于用药前,与B组同期相比差异有统计学意义(P<0.05),A组第一产程较B组第一产程明显缩短(P<0.05),但A组催产素使用率显著高于B组(P<0.05)。两组产妇在分娩过程中的BP、HR、SpO2和RR平稳。两组器械助产率、剖宫产率、产后出血量、新生儿Apgar评分比较差异均无统计学意义。结论:CSEA用于分娩镇痛效果确切,且可以缩短产程,是较理想的分娩镇痛阻滞方法。
Objective: To observe the clinical effect of spinal anesthesia combined epidural block (CSEA) on labor analgesia. Methods: Eighty primipara patients with stage Ⅰ-Ⅱ ASA were enrolled in this study. They were randomly divided into A and B groups, 40 cases in each group. Group A used CSEA for labor analgesia; Group B as control group, did not use any analgesic measures during labor. Results: The VAS score in group A was significantly lower than that in group B before treatment (P <0.05), and the first stage of labor in group A was significantly shorter than that in group B (P <0.05) , But the use of oxytocin in group A was significantly higher than that in group B (P <0.05). The BP, HR, SpO2, and RR were stable in both groups during childbirth. There was no significant difference in the rate of midwifery, cesarean section rate, postpartum hemorrhage, neonatal Apgar score. Conclusion: CSEA is effective in labor analgesia and can shorten labor, which is an ideal method of labor analgesia block.