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目的探讨腰-硬联合麻醉用于无痛分娩中的临床效果及对产程的影响。方法选取2015年1月—2016年1月河南宏力医院产科需分娩的产妇100例随机分为观察组与对照组各50例。观察组患者于无痛分娩过程中行腰硬联合麻醉镇痛;对照组在分娩不给予任何药物进行镇痛。比较两组患者不同方式镇痛后疼痛评分及产程指标。结果观察组产妇应用腰-硬联合麻醉阵痛后0度,Ⅰ度人数显著多于对照组且Ⅱ度、Ⅲ度人数显著少于对照组;观察组患者宫口扩张速度显著快于对照组且活跃期、第二产程、第三产程时间显著少于对照组(P<0.05)。结论对行无痛分娩的产妇行腰硬联合麻醉具有药物用量少、浓度低且迅速缓解宫缩疼痛的优势;对缩短产程,改善妊娠结局及确保母婴安全均具有重要意义,是一种理想的无痛分娩镇痛方式。
Objective To investigate the clinical effect and the effect on the labor process of waist-hard anesthesia in painless labor. Methods From January 2015 to January 2016, 100 cases of maternal obstetric delivery in Henan Hongli Hospital were randomly divided into observation group and control group, 50 cases each. Patients in the observation group underwent analgesia combined with lumbar epidural anesthesia during painless childbirth; the control group received no analgesia during childbirth. The analgesic pain scores and labor indices of different ways in two groups were compared. Results In observation group, the degree of lumbar-epidural anesthesia was 0 ° after operation, the number of degree Ⅰ was significantly more than that of control group, and the number of degree Ⅱ and degree Ⅲ was significantly less than that of control group. The rate of cervix dilation in observation group was significantly faster than that of control group Stage, the second stage of labor, the third stage of labor was significantly less than the control group (P <0.05). Conclusions The painless delivery of combined spinal and epidural anesthesia to women with painless delivery has the advantages of less drug dosage, lower concentration and rapid reduction of uterine pain. It is of great significance to shorten labor, improve pregnancy outcome and ensure the safety of mother and infant Ideal painless labor analgesia.