摘要
【目的】探讨两种会阴神经阻滞麻醉方法在初产妇阴道分娩中的效果。【方法】在本院阴道分娩的初产妇200例,根据麻醉方式不同将产妇分为两组,各100例,其中观察组先露部下降至坐骨棘下约0.5~1 cm,用1%利多卡因行双侧会阴部神经阻滞麻醉,会阴切开前行局部浸润麻醉;对照组在胎头拨露后,会阴侧切前给予1%利多卡因局部浸润麻醉和切开侧会阴部神经阻滞麻醉。观察比较两组会阴疼痛、撕裂情况。【结果】观察组会阴部疼痛情况明显好于对照组(P<0.05);观察组发生会阴撕裂的比例明显低于对照组(P<0.05);观察组第二产程和产后出血量明显低于对照组(P<0.05);观察组下床活动时间和住院天数明显少于对照组(P<0.05)。【结论】1%利多卡因(阻滞时机)行双侧会阴部神经阻滞麻醉比会阴切开前行局部浸润麻醉和切开侧会阴部神经阻滞麻醉有较好的效果,可减轻产妇会阴部疼痛和撕裂,缩短第二产程。
【Objective】To compare the effects of different anesthesia methods on maternal vaginal delivery.【Methods】A total of 200 women with vaginal delivery in our hospital were randomly divided into two groups according to different anesthesia methods, with 100 cases in each group. In the observation group, 1% lidocaine was used to block the bilateral perineal nerve block while fetal exposed part was lowered to about 0.5 ~ 1cm under the sciatic spine. Then the local infiltration anesthesia was performed before perineotomy. In the control group, when the fetal head was exposed, 1% lidocaine local infiltration anesthesia and perineal nerve block anesthesia were performed before episiotomy. Perineal pain and tear in the two groups were observed and compared.【Results】The incidence of perineal pain in the observation group was significantly lower than that in the control group (P<0.05). The proportion of perineal tears in the observation group was significantly lower than that in the control group (P<0.05). The second stage of labor and postpartum hemorrhage in the observation group were significantly lower than those in the control group (P<0.05). The time to get out of bed after surgery and length of hospitalization in the observation group were significantly less than those in the control group (P<0.05).【Conclusion】1% lidocaine of bilateral perineal nerve block and local infiltration anesthesia before perineotomy has a good effect, which can reduce the pain and tear of the perineum and shorten the second stage of labor.
作者
王翠香
WANG Cui-xiang(The Second People's Hospital of Dongying City, Shandong Province 257335)
出处
《医学临床研究》
CAS
2019年第5期882-883,887,共3页
Journal of Clinical Research
关键词
自然分娩
麻醉
Natural Childbirth
Anesthesia
