摘要
目的：探讨腰硬联合麻醉（combined spinal and epidural anesthesia,CSEA）减轻或消除产痛以及对产程、胎儿、分娩方式的影响。方法：选择60例无产科、麻醉禁忌证的初产妇（观察组）,在宫口开大2-3 cm时,给予腰麻联合硬膜外麻醉,并与同期条件相似、未给予任何镇痛方法的60例初产妇进行对照（对照组）。比较两组产痛程度、产程进展速度、分娩方式及对胎儿的影响。结果：观察组镇痛有效率较对照组明显升高（P〈0.01）。观察组活跃期较对照组缩短,宫颈扩张速度加快、剖宫产率下降,经阴道助产分娩率增高（P〈0.05）。胎儿窘迫及新生儿窒息、产后出血发生率两组比较,差异均无显著性（P〉0.05）。结论：CSEA应用于产科,可达到分娩镇痛、加速产程、降低剖宫产率的作用,对胎儿无不良影响,值得推广应用。
Objective：To discuss the combined spinal and epidural anesthesia（CSEA） reducing or eliminating pain and its impact to birth process,fetus and delivery mode.Methods：To choose 60 primiparas without obstetric and anesthetic contraindications（the observation group）.When uterine cervix dilating for 2~3 cm,CSEA was given.And other 60 primiparas with similar conditions in the same period and without any analgesia were chosen as control.Childbirth pain,rate of progress during childbirth,delivery mode and their effects to fetus were compared between the two groups.Results：The effective rate of analgesia in the observation group was significantly higher than that in the control group（P0.01）.Compared with the control group,the active phase in the observation group was shorter,the cervical expansion speed was accelerated,the rate of cesarean section was declined and the rate of assisted vaginal delivery was increased（P0.05）.Comparing the two groups,fetal distress,neonatal asphyxia and postpartum hemorrhage had no significant differences（P0.05）.Conclusion：CSEA used in obstetrics and gynecology could achieve labor analgesia,speeding up the delivery process and reducing the rate of cesarean section without adverse effects on fetus,which is worth being promoted.
出处
《现代医药卫生》
2011年第3期325-326,共2页
Journal of Modern Medicine & Health
关键词
腰硬联合麻醉
产科
分娩镇痛
Combined spinal-epidural anesthesia（CSEA）
Obstetrical
Labor
Analgesia
