摘要
目的:分析椎管内阻滞麻醉在经阴道分娩中的应用,探讨椎管内阻滞麻醉对经阴道分娩产妇产后盆底肌功能恢复的影响。方法:选择于2012年12月至2013年10月在我院妇产科选择阴道分娩的240例产妇,将其随机分为实验组和对照组两组,每组120例,实验组阴道分娩椎管内阻滞分娩麻醉,对照组阴道分娩未采用椎管内阻滞分娩麻醉。观察两组产妇的产程时间、分娩时会阴疼痛程度和会阴裂伤程度及产后盆底肌功能恢复情况。结果:与对照组比较,实验组的产程缩短、会阴疼痛程度减弱、会阴裂伤程度减小,差异均有统计学意义(P<0.05),产后盆底肌功能恢复情况差异无统计学意义(P>0.05)。结论:椎管内阻滞分娩麻醉缩短了产程、减弱了产妇的疼痛程度、减小了会阴裂伤程度、保护了盆底结构,是一种优质的分娩麻醉手段,值得在临床推广与应用。
Objectives： To analyze the application of intraspinal anesthesia in vaginal delivery,and investigate the effect of spinal anesthesia for maternal postpartum pelvic floor muscle function recovery after vaginal delivery. Methods： 240 puerperae in obstetrics and gynecology department of our hospital from December 2012 to October2013 were chosen and randomly divided into experimental group and control group,120 cases in each group. The experimental group adopted spinal block anesthesia during vaginal delivery,while the control group did not. The maternal labor time,perineal pain,perineal laceration degree and post- natal pelvic floor muscle function recovery of the two groups were compared. Results： Compared with control group,the delivery time was shortened,perinealpain was diminished,and degree of perineal laceration was reduced in the experimental group,with statistically significant difference（ P〈0. 05）,while difference in postpartum pelvic floor muscle function recovery was not statistically significant（ P〉0. 05）. Conclusion： Intraspinal anesthesia as a high quality delivery of anesthesia methods can shorten the delivery time,reduce maternal pain degree,reduces the degree of perineal laceration,while protect pelvic floor muscle function,which is worth in clinical promotion and application.
作者
麻睿骏
叶秋玉
章玲斌
张珂
MA Rui- jun YE Qiuyu ZHANG Lingbin ZHANG Ke(Department of Anesthesia, Lishui People＇ s Hospital, Lishui 323000, Zhejiang , China Department of Obstetrics and Gynecology, The Obstetrics and Gynecology Hospital Affiliated to Zhefiang University Medical College, Hangzhou 310006, Zhefiang, China)
出处
《中国性科学》
2016年第12期109-111,共3页
Chinese Journal of Human Sexuality
基金
浙江省卫生适宜技术成果转化计划项目(2013ZHA008)
关键词
椎管内阻滞
麻醉
盆底
肌功能
影响
Spinal block
Anesthesia
Pelvic floor
Muscle function
Influence
