腰硬联合麻醉在无痛分娩中效果分析.docVIP

腰硬联合麻醉在无痛分娩中效果分析 　　摘 要：目的 探讨腰硬联合麻醉在临床产妇分娩过程中的镇痛效果。方法 选取瓦房店第二医院2016年1月～2017年11月收治的136例待产产妇，将其随机分为对照组和试验组，每组68例。试验组产妇在分娩过程中给予腰硬联合麻醉方法，对照组产妇不给予分娩镇痛。将两组产妇的镇痛效果、各产程时间、产后出血情况以及产程中胎儿的胎心率变化进行对比分析，并对新生儿进行Apgar评分。结果 实验组镇痛效果，优于对照组，差异有统计学意义（P0.05）。结论 腰硬联合麻醉用于产妇的无痛分娩具有良好的临床效果，且安全系数高，值得临床推广。 　　关键词： 腰硬联合麻醉；无痛分娩；镇痛效果 　　中图分类号：R714.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.08.034 　　文章编号：1006-1959（2018）08-0105-02 　　Analysis of the Effect of Combined Spinal Epidural Anesthesia in Painless Delivery 　　CHI Fu-tao 　　（Department of Anesthesiology，Wafangdian Second Hospital，Dalian 116314，Liaoning，China） 　　Abstract：Objective To explore the analgesic effect of combined spinal epidural anesthesia in the delivery of clinical parturient. Methods From January 2016 to November 2017，136 parturient women in Wafangdian Second Hospital were randomly divided into control group and experimental group with 68 cases in each group.In the trial group，the parturient was given combined spinal epidural anesthesia during labor，while in the control group，the labor analgesia was not given.The effect of two groups of parturients，the time of labor，the situation of postpartum hemorrhage and the fetal heart rate changes in the birth process were compared and analyzed，and the Apgar score of the newborns was evaluated.Results The analgesic effect of the experimental group was better than that of the control group，and the difference was statistically significant（P0.05）.Conclusion Combined spinal epidural anesthesia for painless childbirth has good clinical effect，and high safety coefficient，worthy of clinical promotion. 　　Key words：Combined spinal epidural anesthesia；Painless delivery；Analgesic effect 　　分娩是女性的一?N自然生理过程，但近年来剖宫产率日益增长，这是因为自然分娩过程中的剧烈宫缩痛使越来越多的产妇惧怕，甚至产生紧张、焦虑等心理疾病，但这种非医疗原因的剖宫产对产妇本身和新生儿都会产生一些伤害[1]。随着现代医学的不断进步，无痛分娩的要求在临床分娩中越来越多被提及，它不仅要求临床起效快且效果良好，还需对产妇和胎儿无身体伤害，安全系数高[2]。其中腰硬联合麻醉（combined spinal epidural labor ana-lgesia，CSEA）方法为无痛分娩镇痛方式的一种，为促进该镇痛技术的应用和发展[3]。选取瓦房店第二医院2016年1月～2017年11月收治的136例待产产妇，旨在探讨腰硬联