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目的:探讨腰麻-硬膜外联合阻滞用于分娩镇痛的效果及对产程、母婴的影响。方法:将80例产妇随机分为观察组和对照组两组,观察组(40例)在蛛网膜下腔隙注入芬太尼15μg,PCEA用0.1%罗哌卡因+芬太尼2μg/m l,6 m l/h。对照组(40例)不行镇痛。观察两组镇痛效果、运动神经阻滞、产程时间、分娩方式、新生儿Apgar评分情况。结果:观察组镇痛效果明显优于对照组(Hc=35.79,P<0.01),无运动神经阻滞,活跃期明显缩短(t=5.21,P<0.01),两组剖宫产率和新生儿Apgar评分比较差异无统计学意义(P>0.5)。结论:腰硬联合麻醉用于分娩镇痛效果确切,不影响产程及新生儿。
Objective: To investigate the effect of spinal anesthesia combined with epidural blockade on labor analgesia and its effects on labor process and maternal and infant. Methods: Eighty pregnant women were randomly divided into two groups: observation group (40 cases) and fentanyl group (40 cases), subcutaneous injection of fentanyl , 6 ml / h. Control group (40 cases) not analgesic. The analgesic effect, motor block, labor time, mode of delivery and Apgar score were observed in two groups. Results: The analgesic effect of the observation group was significantly better than that of the control group (Hc = 35.79, P <0.01), without motor block and the active period was significantly shorter (t = 5.21, P <0.01) Children Apgar score difference was not statistically significant (P> 0.5). Conclusion: Combined spinal and epidural anesthesia has the exact effect of labor analgesia and does not affect labor and newborn.