摘要
目的探讨硬膜外阻滞麻醉在无痛分娩中的临床效果。方法选取我院2018年2月~2019年2月收治的50例初产妇作为研究对象,按照电脑随机分组方法分为对照组(25例)与研究组(25例),对照组在静脉麻醉下进行无痛分娩,研究组在硬膜外阻滞麻醉下进行无痛分娩。比较两组的镇痛有效率、自然分娩率、宫缩间隔时间、宫缩持续时间、新生儿窒息率、胎儿宫内窘迫率。结果研究组的镇痛有效率、自然分娩率高于对照组,差异有统计学意义(P<0.05);两组的宫缩间隔时间、宫缩持续时间、新生儿窒息率、胎儿宫内窘迫率比较,差异无统计学意义(P>0.05)。结论硬膜外阻滞麻醉用于无痛分娩可以有效增加其镇痛有效率与自然分娩率,且不会增加新生儿窒息率、胎儿宫内窘迫率,应用价值极为肯定。
Objective To investigate the clinical effect of epidural anesthesia in painless delivery. Methods Fifty primiparas from February 2018 to February 2019 in our hospital were selected as subjects. According to the method of computer random grouping, they were divided into control group(25 cases) and study group(25 cases). The control group underwent painless labor under intravenous anesthesia, and the study group underwent painless delivery under epidural anesthesia. The analgesic efficiency, natural delivery rate, uterine contraction interval, duration of contractions, neonatal asphyxia rate, and intrauterine distress rate were compared between the two groups. Results The analgesic efficiency and natural delivery rates of the study group were higher than those of the control group, the differences were statistically significant(P<0.05);there were no statistical differences in the interval between contractions, duration of contractions, neonatal asphyxia rate, intrauterine distress rate(P>0.05). Conclusion Epidural anesthesia for painless delivery can effectively increase the analgesic efficiency and natural delivery rate, and will not increase the neonatal asphyxia rate, fetal intrauterine distress rate, the application value is extremely positive.
作者
黄奕珊
吴东鹏
张雁翔
HUANG Yi-shan;WU Dong-peng;ZHANG Yan-xiang(The Second Division,Department of Obstetrics,Maternal and Child Health Hospital of Rongcheng District,Jieyang City,Guangdong Province,Jieyang522000,China;Department of Anesthesiology,Maternal and Child Health Hospital of Rongcheng District,Jieyang City,Guangdong Province,Jieyang522000,China)
出处
《中国当代医药》
2020年第11期142-144,共3页
China Modern Medicine
基金
广东省揭阳市卫生和计划生育局医学科学技术研究立项项目(揭市卫[2017]67号180)。
关键词
硬膜外阻滞麻醉
无痛分娩
临床疗效
并发症
Epidural anesthesia
Painless delivery
Clinical efficacy
Complications
