中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2015年
22期
12-13
,共2页
腰麻%硬膜外麻醉%分娩镇痛
腰痳%硬膜外痳醉%分娩鎮痛
요마%경막외마취%분면진통
Spinal anesthesia%Epidural anesthesia%Labor analgesia
目的：探讨和分析腰麻和硬膜外麻醉联合与硬膜外麻醉对分娩镇痛的临床效果。方法：选取2011-2014年笔者所在医院收治的120例孕产妇，按照随机数字表法分为甲、乙两组，每组60例。甲组采用腰麻+硬膜外麻醉进行麻醉，乙组采用单纯硬膜外进行麻醉，比较两组的麻醉效果。结果：甲组与乙组相比，分娩疼痛显著减轻，其中甲组0级疼痛56例(93.3%)，与乙组0级疼痛1例(1.7%)相比，差异有统计学意义(P<0.01)；甲组第一、二、三产程与乙组相比，差异均无统计学意义(P>0.05)；甲组分娩方式与乙组相比，差异无统计学意义(P>0.05)；甲组运动神经阻滞程度与乙组相比，差异无统计学意义(P>0.05)；两组新生儿Apgar评分比较，差异无统计学意义(P>0.05)；两组并发症比较，差异无统计学意义(P>0.05)。结论：腰麻联合硬膜外麻醉具有起效快、镇痛效果好等特点，且对运动神经阻滞较小，孕产妇较易接受。
目的：探討和分析腰痳和硬膜外痳醉聯閤與硬膜外痳醉對分娩鎮痛的臨床效果。方法：選取2011-2014年筆者所在醫院收治的120例孕產婦，按照隨機數字錶法分為甲、乙兩組，每組60例。甲組採用腰痳+硬膜外痳醉進行痳醉，乙組採用單純硬膜外進行痳醉，比較兩組的痳醉效果。結果：甲組與乙組相比，分娩疼痛顯著減輕，其中甲組0級疼痛56例(93.3%)，與乙組0級疼痛1例(1.7%)相比，差異有統計學意義(P<0.01)；甲組第一、二、三產程與乙組相比，差異均無統計學意義(P>0.05)；甲組分娩方式與乙組相比，差異無統計學意義(P>0.05)；甲組運動神經阻滯程度與乙組相比，差異無統計學意義(P>0.05)；兩組新生兒Apgar評分比較，差異無統計學意義(P>0.05)；兩組併髮癥比較，差異無統計學意義(P>0.05)。結論：腰痳聯閤硬膜外痳醉具有起效快、鎮痛效果好等特點，且對運動神經阻滯較小，孕產婦較易接受。
목적：탐토화분석요마화경막외마취연합여경막외마취대분면진통적림상효과。방법：선취2011-2014년필자소재의원수치적120례잉산부，안조수궤수자표법분위갑、을량조，매조60례。갑조채용요마+경막외마취진행마취，을조채용단순경막외진행마취，비교량조적마취효과。결과：갑조여을조상비，분면동통현저감경，기중갑조0급동통56례(93.3%)，여을조0급동통1례(1.7%)상비，차이유통계학의의(P<0.01)；갑조제일、이、삼산정여을조상비，차이균무통계학의의(P>0.05)；갑조분면방식여을조상비，차이무통계학의의(P>0.05)；갑조운동신경조체정도여을조상비，차이무통계학의의(P>0.05)；량조신생인Apgar평분비교，차이무통계학의의(P>0.05)；량조병발증비교，차이무통계학의의(P>0.05)。결론：요마연합경막외마취구유기효쾌、진통효과호등특점，차대운동신경조체교소，잉산부교역접수。
Objective:To investigate the effect of combined spinal and epidural anesthesia and epidural anesthesia in labor analgesia.Method:120 cases of pregnant women in our hospital from 2011 to 2014 were randomly divided into group A and group B,group A was given combined spinal and epidural anesthesia,group B was given epidural anesthesia,the effects of two groups were compared.Result:The childbirth pain of two groups significantly reduced, group A 0 pain in 56 cases,accounting for 93.3%,compared with group B,there was statistical significance(P<0.01).The first,second and third stage of labor of group A compared with group B,there was no statistical significance(P>0.05).The mode of delivery of group A compared with group B,there was no statistical significance(P>0.05).The degree of motor block of group A compared with group B,there was no statistical significance (P>0.05).Neonatal Apgar score of group A compared group B,there was no statistical significance(P>0.05).The complications of group A compared with group B,there was no statistical significance(P>0.05).Conclusion:The combined spinal and epidural anesthesia has a rapid onset of analgesic effect of good features,and less on the motor block,maternal easier to accept.
