医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
16期
204-205
,共2页
阴道分娩%阴部神经阻滞麻醉%局部浸润麻醉%会阴侧切%镇痛
陰道分娩%陰部神經阻滯痳醉%跼部浸潤痳醉%會陰側切%鎮痛
음도분면%음부신경조체마취%국부침윤마취%회음측절%진통
Vaginal delivery%Pudendum nerve block anesthesia%Localinfiltrationanesthesia%Lateral episiotomy%Analgesia
目的：比较阴部神经阻滞麻醉联合局部浸润麻醉在会阴侧切缝合中的镇痛效果。方法将需要行会阴侧切术的初产妇62例随机分成观察组和对照组各31例。观察组用2%利多卡因20ml~40ml在会阴侧切处行阴部神经阻滞麻醉联合局部浸润麻醉下行会阴缝合术；对照组只用2%的利多卡因在会阴侧切处行会阴局部麻醉下行会阴缝合术。结果观察组的镇痛效果的总有效率和显效率分别为96.77%和77.42%，均高于对照组的54.84%和32.26%，无效率3.22%低于对照组45.16%，以上差异均有统计学意义(P<0.01)；观察组的缝合时间和出血量亦小于对照组（P<0.05），但两组在会阴切口愈合的差异无统计学意义（P>0.05）。结论阴部神经阻滞麻醉联合局部浸润麻醉在会阴侧切缝合中镇痛起效快，缝合时间短，出血少，操作简单，安全，无不良反应，值得在临床上推广。
目的：比較陰部神經阻滯痳醉聯閤跼部浸潤痳醉在會陰側切縫閤中的鎮痛效果。方法將需要行會陰側切術的初產婦62例隨機分成觀察組和對照組各31例。觀察組用2%利多卡因20ml~40ml在會陰側切處行陰部神經阻滯痳醉聯閤跼部浸潤痳醉下行會陰縫閤術；對照組隻用2%的利多卡因在會陰側切處行會陰跼部痳醉下行會陰縫閤術。結果觀察組的鎮痛效果的總有效率和顯效率分彆為96.77%和77.42%，均高于對照組的54.84%和32.26%，無效率3.22%低于對照組45.16%，以上差異均有統計學意義(P<0.01)；觀察組的縫閤時間和齣血量亦小于對照組（P<0.05），但兩組在會陰切口愈閤的差異無統計學意義（P>0.05）。結論陰部神經阻滯痳醉聯閤跼部浸潤痳醉在會陰側切縫閤中鎮痛起效快，縫閤時間短，齣血少，操作簡單，安全，無不良反應，值得在臨床上推廣。
목적：비교음부신경조체마취연합국부침윤마취재회음측절봉합중적진통효과。방법장수요행회음측절술적초산부62례수궤분성관찰조화대조조각31례。관찰조용2%리다잡인20ml~40ml재회음측절처행음부신경조체마취연합국부침윤마취하행회음봉합술；대조조지용2%적리다잡인재회음측절처행회음국부마취하행회음봉합술。결과관찰조적진통효과적총유효솔화현효솔분별위96.77%화77.42%，균고우대조조적54.84%화32.26%，무효솔3.22%저우대조조45.16%，이상차이균유통계학의의(P<0.01)；관찰조적봉합시간화출혈량역소우대조조（P<0.05），단량조재회음절구유합적차이무통계학의의（P>0.05）。결론음부신경조체마취연합국부침윤마취재회음측절봉합중진통기효쾌，봉합시간단，출혈소，조작간단，안전，무불량반응，치득재림상상추엄。
Objective To compare pudendum nerve blocking anesthesia combined local infiltration anesthesia's analgesic ef ects on episiotomy suture.Methods 62 cases of puerperas who need lateral episiotomy were randomly divided into observation group and control group(31 cases for each).The observation group used 2%lidocaine(20~40ml)to have pudendum nerve blocking anesthesia combined local infiltration anesthesia at the episiotomy place and perineorrhaphy.The control group only used 2%lidocaine at the episiotomy place to have the perineum local anesthesia and perineorrhaphy.Results The analgesia ef ect of total ef ective rate and ef iciency in the observation group were 96.77%and 77.42%,the ef ective rates were both higher than the control group's (54.84%and 32.26%).The inef iciency (3.22%)in observation was lower than the control group's (45.16%),the above dif erences were statistical y significant (P<0.01).The suture time and amount of bleeding in observation group were less than the control group's,but the healing dif erences at the episiotomy place of the two groups had no statistical significance (P>0.05).Conclusion The pudendum nerve blocking anesthesia combined local infiltration anesthesia's analgesic ef ects were fast,The suture time is short,less bleeding,safe,ef ective and simply operated.It has no adverse reaction and is worth to be popularized.
