比较分析腰麻和硬膜外麻醉联合与硬膜外麻醉对分娩镇痛的影响

摘要

Objective:To investigate the effect of combined spinal and epidural anesthesia and epidural anesthesia in labor analgesia.Method:120 cases of pregnant women in our hospital from 2011 to 2014 were randomly divided into group A and group B,group A was given combined spinal and epidural anesthesia,group B was given epidural anesthesia,the effects of two groups were compared.Result:The childbirth pain of two groups significantly reduced, group A 0 pain in 56 cases,accounting for 93.3%,compared with group B,there was statistical significance(P<0.01).The first,second and third stage of labor of group A compared with group B,there was no statistical significance(P>0.05).The mode of delivery of group A compared with group B,there was no statistical significance(P>0.05).The degree of motor block of group A compared with group B,there was no statistical significance (P>0.05).Neonatal Apgar score of group A compared group B,there was no statistical significance(P>0.05).The complications of group A compared with group B,there was no statistical significance(P>0.05).Conclusion:The combined spinal and epidural anesthesia has a rapid onset of analgesic effect of good features,and less on the motor block,maternal easier to accept.%目的：探讨和分析腰麻和硬膜外麻醉联合与硬膜外麻醉对分娩镇痛的临床效果。方法：选取2011-2014年笔者所在医院收治的120例孕产妇，按照随机数字表法分为甲、乙两组，每组60例。甲组采用腰麻+硬膜外麻醉进行麻醉，乙组采用单纯硬膜外进行麻醉，比较两组的麻醉效果。结果：甲组与乙组相比，分娩疼痛显著减轻，其中甲组0级疼痛56例(93.3%)，与乙组0级疼痛1例(1.7%)相比，差异有统计学意义(P<0.01)；甲组第一、二、三产程与乙组相比，差异均无统计学意义(P>0.05)；甲组分娩方式与乙组相比，差异无统计学意义(P>0.05)；甲组运动神经阻滞程度与乙组相比，差异无统计学意义(P>0.05)；两组新生儿Apgar评分比较，差异无统计学意义(P>0.05)；两组并发症比较，差异无统计学意义(P>0.05)。结论：腰麻联合硬膜外麻醉具有起效快、镇痛效果好等特点，且对运动神经阻滞较小，孕产妇较易接受。