腰麻-硬膜外联合阻滞在分娩镇痛中的应用.docVIP

精品论文 参考文献 腰麻-硬膜外联合阻滞在分娩镇痛中的应用 湖南省蓝山县人民医院 湖南永州 425800 【摘 要】目的：研究腰麻-硬膜外联合阻滞在分娩镇痛中的应用效果。方法：将2016年1月—2016年6月我院分娩产妇100例作为对象，根据产妇分娩镇痛意愿将100例分娩产妇分为2组，其中联合阻滞组、对照组分别50、50例。对照组未行分娩镇痛；联合阻滞组给予腰麻-硬膜外联合阻滞。就两组患者分娩过程疼痛VAS评分、第一产程、总产程时间、宫口扩张速率、自然分娩率进行比较。结果：联合阻滞组分娩过程疼痛VAS评分、第一产程、总产程时间、宫口扩张速率、自然分娩率均优于对照组，P＜0.05。结论：腰麻-硬膜外联合阻滞在分娩镇痛中的应用效果确切，可减轻产妇痛苦，加速产程进展，提高宫口扩张速率和自然分娩率，值得推广。 【关键词】腰麻-硬膜外联合阻滞;分娩镇痛;应用效果 Application of combined spinal epidural anesthesia in labor analgesia [Abstract]Objective：To study the effect of combined spinal epidural anesthesia in labor analgesia.Methods：100 cases of women in our hospital from June 2016 to January 2016 were taken as the object，according to the will of delivery，the 100 cases were divided into 2 groups，the combined block group and the control group were 50 and 50 cases respectively.The control group did not undergo labor analgesia; combined anesthesia group was given spinal epidural block.The two groups of patients with pain VAS score，the first birth process，the total labor time，the rate of uterine expansion rate，natural birth rate were compared.Results：the pain VAS score，the first birth process，the total labor time，the rate of spontaneous delivery rate of the combined block group were better than those in the control group，P lt; 0.05.Conclusion：the effect of combined spinal epidural anesthesia in labor analgesia is effective，can reduce maternal pain，accelerate the progress of labor，improve the rate of uterine expansion rate and natural childbirth，it is worth promoting. [Key words]combined spinal epidural anesthesia; labor analgesia; application effect 产妇分娩中可伴随难以忍受的持续疼痛，可增加产妇痛苦和烦躁感，不利于产程的顺利进展和母婴安全。因而在产妇分娩中采取分娩镇痛非常重要[1]。腰麻-硬膜外联合阻滞是一种公认具有良好镇痛效果的麻醉方式，本研究探讨了腰麻-硬膜外联合阻滞在分娩镇痛中的应用效果，报道如下。 1 资料与方法 1.1 一般资料 将2016年1月—2016年6月我院分娩产妇100例作为对象，根据产妇分娩镇痛意愿将100例分娩产妇分为2组，其中联合阻滞组、对照组分别50、50例。所有产妇均为单胎头位，无麻醉和产科禁忌症，均知情同意本次研究。 对照组年龄21岁-33岁，平均年龄为27.61plusmn;2.36岁。孕周最短37周，最长42周，平均为39.61plusmn;2.26周。其