CAJ | 학술논문

目的：观察研究腰硬联合麻醉镇痛法和笑气吸入法的临床效果及对产妇和新生儿的影响。方法：回顾性分析330例产妇，每组110例；其中硬膜外组采用腰硬联合麻醉，笑气组采用吸入含50％笑气和50％氧气的混合气体，对照组未用任何镇痛方法。观察各组的镇痛效果。结果：硬膜外组与笑气组镇痛效果显著优于对照组，硬膜外组镇痛效果、宫口开全（T3）后宫缩强度明显高于笑气组，第一产程孕妇活跃期短；分娩方式硬膜外组与笑气组显著优于对照组；新生儿不良反应、产后出血量、新生儿Apgar评分比较3组无明显差异。结论：笑气吸入的镇痛效果次于腰硬联合麻醉，但操作简单、经济实惠，值得基层医院推广；腰硬联合麻醉镇痛起效迅速、效果最佳，可作为分娩镇痛的首选方法。
목적：관찰연구요경연합마취진통법화소기흡입법적림상효과급대산부화신생인적영향。방법：회고성분석330례산부，매조110례；기중경막외조채용요경연합마취，소기조채용흡입함50％소기화50％양기적혼합기체，대조조미용임하진통방법。관찰각조적진통효과。결과：경막외조여소기조진통효과현저우우대조조，경막외조진통효과、궁구개전（T3）후궁축강도명현고우소기조，제일산정잉부활약기단；분면방식경막외조여소기조현저우우대조조；신생인불량반응、산후출혈량、신생인Apgar평분비교3조무명현차이。결론：소기흡입적진통효과차우요경연합마취，단조작간단、경제실혜，치득기층의원추엄；요경연합마취진통기효신속、효과최가，가작위분면진통적수선방법。
Objective:To analyze the clinical effect of epidural anesthesia and nitrous oxide inhalation analgesia and its impact on maternal and newborn. Methods:A retrospective analysis of 294 cases of maternal epidural group of 92 cases in which the use of epidural anesthesia; 92 cases of inhalation of nitrous oxide group using mixed gas containing 50% nitrous oxide and 50% oxygen; the control group did not use any methods of analgesia. Analgesic effect was observed in each group. Results:epidural group and nitrous oxide analgesia group were significantly better than the control group, and the group of spinal epidural analgesia cervix (T3) was significantly higher than the intensity of the contractions nitrous oxide group, the active phase of the first stage of labor in pregnant women short;mode of delivery epidural group and nitrous oxide were significantly better than the control group;postpartum hemorrhage , neonatal adverse reactions, Apgar score three groups no significant difference. Conclusion:nitrous oxide inhalation analgesia inferior to epidural anesthesia, but simple, affordable, primary hospitals should be popularized; CSEA rapid onset of analgesia, the best results can be used as the preferred method of analgesia .