腰硬联合麻醉与硬膜外麻醉用于分娩镇痛的临床效果比较

摘要

Objective To compare the clinical effect of combined spinal epidural anesthesia and epidural anesthesia in labor analgesia. Methods 240 patients implemented labor analgesia from July 2013 to May 2014 in our hospital were selected and randomly divided into group A and group B.Group A was given combined spinal epidural anesthesia,and group B was given epidural anesthesia.The analgesic effect of time,motion block,labor time and Apgar score in two groups was compared. Results The time of labor analgesia onset in group A was shorter than that in group B,the score of VAS in group A was lower than that in group B,with significant difference (P<0.05).There was no significant differ-ence in the incidence rate of motion block between two groups (P>0.05).The active period of group A was shorter than that in group B,with significant difference (P<0.05).There was no significant difference in the second,third production process time and Apgar score between two groups(P>0.05). Conclusion The use of combined spinal epidural anesthesia for labor analgesia can shorten the time of analgesia onset,speed up the production process,the effect is exact,safe and reliable.%目的：比较腰硬联合麻醉与硬膜外麻醉在分娩镇痛中的应用效果。方法选取2013年7月~2014年5月在本院实施分娩镇痛术的240例产妇作为研究对象,随机分为A组和B组,各120例。A组采用腰硬联合麻醉,B组采用硬膜外麻醉。比较两组的镇痛起效时间、运动阻滞、产程时间及新生儿Apgar评分。结果 A组的分娩镇痛起效时间显著短于B组,VAS评分显著低于B组,差异有统计学意义(P<0.05)。两组的运动阻滞发生率比较,差异无统计学意义(P跃0.05)。A组的活跃期时间显著短于B组,差异有统计学意义(P<0.05)。两组的第二、三产程时间及Apgar评分比较,差异无统计学意义(P跃0.05)。结论使用腰硬联合麻醉进行分娩镇痛,可以缩短镇痛起效时间,加快产程,效果确切,安全可靠。