CAJ | 학술논문

目的：探讨腰硬联合阻滞分娩镇痛对分娩结局的影响。方法：行腰硬联合阻滞分娩镇痛的60例健康、单胎、足月临产初产妇为镇痛组，同期条件相似、未行任何镇痛措施的自然临产产妇60例为对照组。比较两组的镇痛效果、产程进展、分娩方式、新生儿窒息发生率、剖宫产率等的差异。结果：研究组镇痛效果非常显著，同时两组第二产程、总产程、分娩方式、产后出血量，新生儿窒息发生率比较无显著性差异(P>0.05)。结论：腰硬联合阻滞用于分娩镇痛，效果可靠，对母婴无不良影响。
목적：탐토요경연합조체분면진통대분면결국적영향。방법：행요경연합조체분면진통적60례건강、단태、족월임산초산부위진통조，동기조건상사、미행임하진통조시적자연임산산부60례위대조조。비교량조적진통효과、산정진전、분면방식、신생인질식발생솔、부궁산솔등적차이。결과：연구조진통효과비상현저，동시량조제이산정、총산정、분면방식、산후출혈량，신생인질식발생솔비교무현저성차이(P>0.05)。결론：요경연합조체용우분면진통，효과가고，대모영무불량영향。
Objective:To investigate the effect of combined spinal epidural anesthesia (CSEA)for the outcome of subsequent pregnancies.Methods:Combined spinal epidural anesthesia for labor analgesia in 60 healthy, full-term parturient primiparas with single fetus was analgesia group and similar condition at the same time, without any anal-gesia measure primiparas was a control group of 60 cases.The analgesic effect,parturient procedure,mode of parturi-tion,postpartum hemorrhage and incidence of neonatal asphyxia were compared.Results:The differences for analgesic effect between study group and control were significant.The differences for the second stage parturient time and total parturient time was not significant(P>0.05).and mode of parturition, postpartum hemorrhage and incidence of neonatal asphyxia are not significant neither (P>0.05).Conclusion:Combined spinal epidural anesthesia is reliable parturition analgesia without any obvious adverse effects on puerpera and infant.