CAJ | 학술논문

目的：探讨腰麻硬膜外联合麻醉在临床分娩镇痛中的应用效果。方法选取2011年2月～2013年2月深圳市福田区第二人民医院住院分娩的产妇共50例，按照随机的原则将其均分为对照组和观察组（n=25）。对照组产妇未镇痛，实施自然分娩；观察组采用腰麻硬膜外联合麻醉进行分娩镇痛。同时，观察2组产妇产后疼痛状况、出血量以及新生儿Apgar评分等。结果对比2组产后相关指标，对照组产后出血量为（253．6±7.3）mL、新生儿Apgar评分（9.2±1.5）、产程（497.2±276.4）min，观察组产后出血量为（227.3±7.9）mL、新生儿Apgar评分（7.4±1.3）、产程（447.8±265.1）min，对比显示观察组更具优势，差异有统计学意义（P＜0.05）。结论在临床产妇的分娩过程中，采用腰麻硬膜外联合麻醉对缓解分娩疼痛具有较好的效果，是临床分娩镇痛的有效方法，有利于确保母婴安全。
목적：탐토요마경막외연합마취재림상분면진통중적응용효과。방법선취2011년2월～2013년2월심수시복전구제이인민의원주원분면적산부공50례，안조수궤적원칙장기균분위대조조화관찰조（n=25）。대조조산부미진통，실시자연분면；관찰조채용요마경막외연합마취진행분면진통。동시，관찰2조산부산후동통상황、출혈량이급신생인Apgar평분등。결과대비2조산후상관지표，대조조산후출혈량위（253．6±7.3）mL、신생인Apgar평분（9.2±1.5）、산정（497.2±276.4）min，관찰조산후출혈량위（227.3±7.9）mL、신생인Apgar평분（7.4±1.3）、산정（447.8±265.1）min，대비현시관찰조경구우세，차이유통계학의의（P＜0.05）。결론재림상산부적분면과정중，채용요마경막외연합마취대완해분면동통구유교호적효과，시림상분면진통적유효방법，유리우학보모영안전。
Objective To investigate the spinal epidural anesthesia in clinical analgesia in. Methods 50 cases of maternal childbirth from February 2011 to February 2013 in the hospital were divided into a control group and the observation group according to the random principle, 25 cases in the control group mothers did not analgesia, the implementation of natural childbirth;Observation group spinal epidural anesthesia for labor analgesia. Meanwhile, conditions were observed postpartum pain, bleeding and Agar score and so on. Results Postpartum hemorrhage, neonatal Agar scores, labor pain, and labor and other indicators in the two groups had statistically significant difference (P<0.05). Conclusion In clinical maternal birthing process, the use of spinal epidural anesthesia to relieve labor pain with good results, is an effective method of clinical analgesia, help ensure safe motherhood.