| 摘要: |
| ［摘要］ 目的 比较硬膜外麻醉和腰硬联合麻醉在分娩镇痛中的效果。方法 选择该院收住的待产妇92例，采用随机数字表法分为硬膜外组（n=45）和腰硬联合组（n=47），观察和比较两组产妇VAS评分、镇痛起效时间、镇痛维持时间、产程时间、新生儿Apgar评分、剖宫产率、缩宫素使用率等。结果 与T0比较，两组产妇T1、T2、T3、T4、T5时VAS评分均明显降低（P<0.05）；T1、T2、T3时腰硬联合组VAS评分均明显低于硬膜外组（P<0.05）；腰硬联合组镇痛起效时间、剖宫产率、缩宫素使用率明显短于或低于硬膜外组（P<0.05）；两组镇痛维持时间、产程时间、新生儿Apgar评分比较差异无统计学意义（P>0.05）。结论 腰硬联合麻醉具有腰麻与持续硬膜外麻醉的双重优点，在分娩镇痛中的麻醉镇痛效果优于持续硬膜外麻醉。 |
| 关键词: 分娩镇痛 腰硬联合麻醉 持续硬膜外麻醉 |
| DOI：10.3969/j.issn.1674-3806.2016.06.13 |
| 分类号:R 614 |
| 基金项目: |
|
| Comparison of the clinical effect between epidural anesthesia and combined spinal-epidural anesthesia for labor analgesia |
|
HE Ping, LI Qing-song
|
|
Department of Anesthesiology, the People′s Hospital of Tianyang County, Guangxi 533600, China
|
| Abstract: |
| ［Abstract］ Objective To compare the efficacy between epidural anesthesia and combined spinal-epidural anesthesia for labor analgesia.Methods Ninety-two cases of primiparas were randomly divided into the epidural group(n=45) and the combined spinal-epidural group(n=47). The VAS pain score, the onset and duration time of analgesic, the time of stages,Apgar scores of neonatal, the rate of cesarean delivery and the rate of oxytocin′s usage were observed and compared between the two groups.Results The VAS pain scores at T1, T2, T3, T4 and T5 were signigicantly lower than those at T0 in both of the two groups(P<0.05). The VAS pain scores at T1, T2 and T3 in the combined spinal-epidural group were signigicantly lower than those in the epidural group(P<0.05). The onset duration time of analgesic, the rate of cesarean delivery and the rate of oxytocin′s usage in the combined spinal-epidural group were signigicantly shorter or lower than those in the epidural group(P<0.05). However, there were no signigicantl differences in time of stages and Apgar scores of neonatal and the duration time of analgesic between the two groups(P>0.05).Conclusion Combined spinal-epidural anesthesia has both advantages of epidural anesthesia and lumbar anesthesia for labor analgesia. |
| Key words: Labor analgesia Combined spinal-epidural anesthesia Epidural anesthesia |
