拉玛泽减痛分娩法联合可行走式腰硬麻醉在分娩镇痛中临床观察.docVIP

拉玛泽减痛分娩法联合可行走式腰硬麻醉在分娩镇痛中临床观察 　　[摘要]目的 研究拉玛泽减痛分娩法联合可行走式腰硬联合麻醉的镇痛效果及其对母儿的影响。 方法 选择初产妇300例，随机分为实验组（拉玛泽联合可行走式腰硬联合麻醉组）、对照组（可行走式腰硬联合麻醉组）各150例，对两组产妇的疼痛程度、总产程时间、产后2h出血量、钳产率及新生儿窒息率等指标进行比较。 结果 实验组产妇分娩时的疼痛较对照组减轻，总产程时间缩短，产后2h出血量减少，钳产率和新生儿窒息率降低，差异有统计学意义（P＜0.05）。 结论 拉玛泽减痛分娩法联合可行走式腰硬联合麻醉能够有效减轻分娩疼痛，缩短产程，减少产后出血，降低钳产率和新生儿窒息率，值得临床应用推广。 　　[关键词] 拉玛泽减痛分娩法；可行走式腰硬联合麻醉；联合；分娩镇痛 　　[中图分类号] R714.3#8195;#8195;#8195;[文献标识码] B#8195;#8195;#8195;[文章编号] 2095-0616（2014）11-98-03 　　 　　Clinical observation of Lamaze childbirth method of pain relief plus combined spinal and epidural ambulatory anesthesia in labor analgesia 　　LI#8195;Libo#8195;#8195;LIU#8195;Ming#8195;#8195;LIANG#8195;Lifen 　　Department of Gynecology and Obstetrics, Huangpu Peoples Hospital of Zhongshan, Zhongshan 528429, China 　　[Abstract] Objective To explore the analgesic effect of Lamaze childbirth method of pain relief plus combined spinal and epidural ambulatory anesthesia and its effect on mother and child. Methods 300 primiparas were selected and randomly allocated to an experimental group (Lamaze childbirth method plus combined spinal and epidural ambulatory anesthesia group) and a control group (combined spinal and epidural ambulatory anesthesia group), with 150 in each group. Indices such as pain degree, total stage of labor, amount of bleeding 2 hours after delivery, rate of forceps delivery and rate of neonatal asphyxia were compared between the two groups. Results Pain in the experimental group was milder than that in the control group during labor, total stage of labor was shorter, the amount of bleeding 2 hours after delivery was smaller, and rates of forceps delivery and neonatal asphyxia were lower than those in the control group. The differences were statistically significant (P＜0.05). Conclusion Lamaze childbirth method of pain relief plus combined spinal and epidural ambulatory anesthesia helps effectively reduce labor pain, shorten the stage of labor, lower the amount of postpartum bleeding, decrease rates of