摘要
目的:比较腰麻-硬膜外联合麻醉分娩的镇痛效果、安全性、产妇可接受性,探讨理想的分娩镇痛方法。方法:216例足月、单胎、正常初产妇在宫口开大2￣3cm时,自愿选择分为2组,腰麻-硬膜外联合麻醉(腰硬联合)组与对照组。在镇痛前后不同阶段行VAS评分,了解镇痛效果及对母婴的安全性。结果:腰硬联合分娩镇痛效果显著,手术助产率和剖宫产率增加,胎儿宫内窘迫率增加,但不影响脐动脉血气指标和新生儿的窒息率。结论:腰硬联合分娩镇痛效果满意,虽然增加手术助产率和剖宫产率,但对母婴相对安全,有条件的医院可以开展。
Objective：To evaluate the effect of combined spinal-epidural（CSE） analgesia on labor pain and to find out the safety and consent rate of analgesia.Methods：Two hundred and sixteen normal term pregnancy and primipara with single vertex presentation were divided into two groups,CSE analgesia group and control group.Pain relief methods were given when the cervixs were dilated to 2-3cm.Labor pain was evaluated by VAS （visual analogue scale） at different stage.Labor stage and method were evaluated too.Results：The analgesic effect for CSE was good,but the rate of the instrumental delivery and caesarean section were higher than that of control group.Conclusion：CSE analgesia can be used for labor pain yet the rate of the instrumental delivery and caesarean section may be higher.It is relatively safe.
出处
《中日友好医院学报》
2007年第1期19-21,共3页
Journal of China-Japan Friendship Hospital
关键词
镇痛
腰麻-硬膜外联合麻醉
分娩
analgesia
combined spinal-epidural analgesia
labor
