摘要
目的探讨蛛网膜下腔-硬膜外腔联合阻滞麻醉(CSEA)结合产妇体位改变及手法复位的临床意义及利用价值。方法选择活跃期产程进展缓慢、胎方位异常、足月的初产妇,年龄22～30岁,ASA1～2级,单胎头位,无宫缩乏力及妊娠合并症的400例产妇为研究对象。其中行腰硬联合麻醉者200例归入为试验组,行静脉推注地西泮者200例归入对照组。分别记录两组具体产程时间、平产率、阴道助产率、剖宫产率、胎儿宫内窘迫发生率、新生儿窒息发生率及产后出血量等数据,并进行统计学分析。结果试验组较对照组产程时间明显缩短,平产率增高,阴道助产率、剖宫产率、胎儿窘迫发生率、新生儿窒息发生率降低,产后出血量亦明显减少。结论产妇产程中应用蛛网膜下腔-硬膜外联合阻滞麻醉分娩镇痛结合产妇体位改变及手法复位安全、有效、可行。
Objective To study the clinical significance and utilization of subarachnoid-epidural space regional analgesia combined posture alteration and manual reduction in delivery.Methods 400 cases in the study were with slow progress in active phase of labor,abnormal fetal position,term primipara,age 22-30 years old,ASA1-2 level,single cephalic presentation and natural in labor,no uterine atony and pregnancy complications.200 cases classified as experimental group were from spinal and epidural anesthesia,and the other 200 cases intravenous diazepam were included into the control group.The specific labor time,flat yield,rate of vaginal delivery,cesarean section rate,incidence of fetal distress,neonatal asphyxia and postpartum hemorrhage and data were recorded and analyzed statistically.Results The labor time and flat yield in the the experimental group was shorter than that in the control group,while the rates of vaginal delivery and cesarean section,the incidence of fetal distress,and the incidence of neonatal asphyxia were lower,and postpartum hemorrhage in experimental group decreased significantly compared with the control group.Conclusion Subarachnoid-epidural space regional analgesia combined posture alteration and manual reduction in delivery was safe,effective and feasible.
出处
《医学综述》
2011年第5期798-800,共3页
Medical Recapitulate
关键词
蛛网膜下腔
硬膜外腔
阻滞麻醉
酰胺类
体位改变
手法复位
分娩
Subarachnoid space
Epidural space
Regional analgesia
Amides
Posture alteration
Manual reduction
Delivery
