腰硬联合阻滞在分娩镇痛中的应用.docVIP

精品论文 参考文献 腰硬联合阻滞在分娩镇痛中的应用 龚举君 　　（宜宾市翠屏区妇幼保健院 四川 宜宾 644000） 　　【摘要】 目的：探讨腰硬联合阻滞在分娩镇痛中的临床应用，以找出分娩镇痛的最佳麻醉方法。方法：选择我院2012年1月到2014年1月收治的210例要求无痛分娩的产妇作为研究对象，采用盲法随机分为观察组与对照组，每组105例，观察组采用腰硬联合阻滞方法进行麻醉，对照组采用硬膜外麻醉方法，并对观察组与对照组的产妇的产生、产后情况以及胎儿情况进行观察，从而分析腰硬联合阻滞在分娩镇痛中的临床应用。结果：在本次研究中观察组的麻醉起效时间明显短于对照组，差异具有统计学意义（Plt;0.05）；观察组与对照组两种麻醉方法应用于分娩麻醉效果均较为良好，观察组的镇痛效果明显优于对照组，差异具有统计学意义（Plt;0.05）；观察组产妇第一、第二产程活跃时间明显短于对照组，差异具有统计学意义（Plt;0.05）；观察组的阴道难产率及剖宫产率明显低于对照组，差异具有统计学意义（Plt;0.05）。结论：在分娩镇痛麻醉方面，腰硬联合麻醉分娩镇痛的方法能够加速第二产程快速进展，降低了阴道难产率及剖宫产率，对胎儿情况及产妇产后情况无明显影响，是消除分娩疼痛的有效措施，值得我们在临床上的借鉴与推广。 　　【关键词】 腰硬联合阻滞；分娩镇痛；临床应用 　　【中图分类号】R714.1 【文献标识码】A 【文章编号】2095-1752（2016）08-0047-02 　　Application of combined spinal epidural block in labor analgesia Gong Jujun. 　　Maternal and Child Health Hospital ofYibin City, Sichuan Province, Yibin 644000, China 　　【Abstract】Objective To investigate the clinical application of combined spinal epidural anesthesia in labor analgesia in order to find out the optimal anesthesia method for labor analgesia. Methods 210 cases of painless labor in our hospital from January 2012 to January 2014 were randomly divided into observation group and control group, 105 cases in each group. The control group was treated with combined spinal epidural anesthesia. The control group was treated with epidural anesthesia. Results The onset time of anesthesia in the observation group was significantly shorter than that in the control group, the difference was statistically significant (Plt;0.05). Conclusion The analgesia anesthesia, combined spinal epidural anesthesia analgesia method can accelerate the second stage of rapid progress, reduces the dystocia rate and the rate of cesarean section, had no significant effect on the fetal and maternal postpartum, eliminate the effective measures for the pain of childbirth, worth in clinical reference and promotion. 　　【Key words】Combined spinal epidural block; Labor analgesia; Clinical application 　　随着现代社会的飞速发展以及生活水平的提高，分娩疼痛为广