摘要
目的：研究妊娠合并高血压疾病在腰硬联合麻醉分娩镇痛时的效果、安全性。方法：120例足月、单胎、合并高血压疾病的产妇在宫口开大2~3cm时,自愿选择腰硬联合麻醉分娩镇痛,同期分娩的120例正常孕妇进行分娩镇痛为对照组。采用VAS疼痛评分方法,分别在镇痛前后不同阶段进行VAS评分,了解镇痛效果、对母婴的安全性。结果：高血压疾病产妇可以进行腰硬联合分娩镇痛,效果显著,手术助产率增加,不影响脐动脉血气和新生儿的窒息率。在产程中高血压组生命体征平稳。结论：高血压疾病产妇腰硬联合分娩镇痛效果满意,对母婴相对安全,提高了此病的自然分娩率。
Objective：To evaluate the effect of epidural-lumbar analgesia on parturients with gestational hypertension.To find out the safety of the analgesia.Methods：One hundred and twenty parturients with gestational hypertension and 120 normal term pregnancy and primipara with single vertex presentation were divided into two groups,hypertension and control groups.Pain relief methods were given when the cervixs were dilated to 2-3cm.Labor pain was evaluated by VAS（visual analogue scale）at different stage.Labor stage and method were evaluated too.Results：The analgesic effect for epidural-lumbar analgesia was good,but the rate of the instrumental delivery and caesarean section were higher than that of control group.Conclusion：Epidurial-lumbar anagesia can be used for parturients with gestational hypertension.It is relatively safe.
出处
《中日友好医院学报》
2013年第4期207-209,共3页
Journal of China-Japan Friendship Hospital
关键词
妊娠高血压疾病
分娩镇痛
硬腰联合麻醉
分娩
gestational hypertension
labor analgesia
epdurial-lumbar analgesia
labor
