CAJ | 학술논문

目的：探讨双侧阴部神经阻滞麻醉改良法在临床分娩中的应用效果。方法：将313例入院分娩初产妇随机分为实验组163例和对照组150例，实验组胎头着冠时采取双侧阴部神经阻滞麻醉改良法配合会阴局部和正中麻醉，缝合时不实施麻醉；对照组仅在需要会阴侧切时给予传统阴部神经加会阴局部和正中麻醉，会阴裂伤者缝合前用浸麻醉药的纱布湿润。比较两组产妇会阴切开率、会阴裂伤度及产妇镇痛效果和依从性。结果：实验组产妇会阴切开率明显低于对照组（ P〈0.01）；实验组会阴裂伤度明显轻于对照组，产妇镇痛效果和依从性明显优于对照组（ P〈0.05）。结论：在阴道分娩中采用双侧阴部阻滞麻醉改良法可降低会阴裂伤率，减轻产妇分娩痛苦，提高产妇分娩依从性和满意度。
목적：탐토쌍측음부신경조체마취개량법재림상분면중적응용효과。방법：장313례입원분면초산부수궤분위실험조163례화대조조150례，실험조태두착관시채취쌍측음부신경조체마취개량법배합회음국부화정중마취，봉합시불실시마취；대조조부재수요회음측절시급여전통음부신경가회음국부화정중마취，회음렬상자봉합전용침마취약적사포습윤。비교량조산부회음절개솔、회음렬상도급산부진통효과화의종성。결과：실험조산부회음절개솔명현저우대조조（ P〈0.01）；실험조회음렬상도명현경우대조조，산부진통효과화의종성명현우우대조조（ P〈0.05）。결론：재음도분면중채용쌍측음부조체마취개량법가강저회음렬상솔，감경산부분면통고，제고산부분면의종성화만의도。
Objective:To explore the application effect of the modified method of bilateral pudendal nerve block anesthesia in child-birth. Methods:313 hospitalized primiparas were randomly divided into the experimental group( n =163 )and the control group( n =150). The bilateral pudendal nerve block anesthesia combined with local perineal anesthesia was adopted and perineum was sutured with-out anesthesia in the experimental group;the traditional pudendal nerve anesthesia combined with local perineal anesthesia was used and the gauze soaked with anesthetic was applied to the wound before perineum was sutured. The episiotomy rate,the degree of perineal lacera-tion,analgesic effect and compliance of pregnant women were compared between the two groups. Results:The episiotomy rate was signifi-cantly lower in the experimental group than the control group(P〈0. 01);the degree of perineal laceration was lighter,analgesic effect and compliance of pregnant women were better in the experimental group than the control group(P〈0. 05). Conclusion:The modified method of bilateral pudendal nerve block anesthesia used for vaginal delivery can reduce the rate of maternal perineal laceration,relieve pain and improve the maternal compliance and satisfaction.