基层医学论坛
基層醫學論罈
기층의학론단
PUBLIC MEDICAL FORUM MAGAZINE
2013年
25期
3272-3274
,共3页
分娩镇痛%硬膜外麻醉%腰硬联合麻醉%镇痛效果
分娩鎮痛%硬膜外痳醉%腰硬聯閤痳醉%鎮痛效果
분면진통%경막외마취%요경연합마취%진통효과
Painless childbirth%Epidural anesthesia%Spinal-epidural anesthesia%Analgesic effect
目的观察腰硬联合麻醉与单纯硬膜外麻醉用于分娩镇痛的效果。方法将自愿接受分娩镇痛的产妇40例随机分成硬膜外阻滞（CEA组）与腰硬联合阻滞（CSEA组）各20例，另随机抽取40例未施行分娩镇痛者作为对照组。在镇痛效果、产程进展、分娩方式、新生儿窒息等方面进行比较。结果3组在产程进展、分娩方式、新生儿窒息差异无显著性。在分娩镇痛方面，CSEA组镇痛效果优于CEA组，2组比较有显著差异。结论椎管内麻醉镇痛效果好，安全性高，适用于分娩镇痛，CSEA法比CEA法镇痛效果更佳。
目的觀察腰硬聯閤痳醉與單純硬膜外痳醉用于分娩鎮痛的效果。方法將自願接受分娩鎮痛的產婦40例隨機分成硬膜外阻滯（CEA組）與腰硬聯閤阻滯（CSEA組）各20例，另隨機抽取40例未施行分娩鎮痛者作為對照組。在鎮痛效果、產程進展、分娩方式、新生兒窒息等方麵進行比較。結果3組在產程進展、分娩方式、新生兒窒息差異無顯著性。在分娩鎮痛方麵，CSEA組鎮痛效果優于CEA組，2組比較有顯著差異。結論椎管內痳醉鎮痛效果好，安全性高，適用于分娩鎮痛，CSEA法比CEA法鎮痛效果更佳。
목적관찰요경연합마취여단순경막외마취용우분면진통적효과。방법장자원접수분면진통적산부40례수궤분성경막외조체（CEA조）여요경연합조체（CSEA조）각20례，령수궤추취40례미시행분면진통자작위대조조。재진통효과、산정진전、분면방식、신생인질식등방면진행비교。결과3조재산정진전、분면방식、신생인질식차이무현저성。재분면진통방면，CSEA조진통효과우우CEA조，2조비교유현저차이。결론추관내마취진통효과호，안전성고，괄용우분면진통，CSEA법비CEA법진통효과경가。
Objective To observe the effect of spinal analgesia combined with epidural anesthesia for pain relief in labor. Methods 80 puerpera divide two groups randomly;40 puerpera on epidural anesthesia and 40 puerpera on spinal-epidural anesthesia.Another 80 puerperans without anesthesia as matched group.Compare the anesthesia effect, progress of labor, asphyxia neonatorum. Results they were not significant differences at progress of labor, asphyxia neonatorum between anesthesia group and matched group.But spinal- epidural anesthesia group was superior to simplicity epidural anesthesia group at anesthesia effect,there were significant differences. Conclusion There were definite anesthesia effect and high safety with intravertebral anesthesia as analgesia of parturition.and spinal- epidural anesthesia was more definite than simplicity epidural anesthesia .
