腰硬联合阻滞分娩镇痛对分娩结局的影响

目的：探讨腰硬联合阻滞分娩镇痛对分娩结局的影响。方法：行腰硬联合阻滞分娩镇痛的60例健康、单胎、足月临产初产妇为镇痛组，同期条件相似、未行任何镇痛措施的自然临产产妇60例为对照组。比较两组的镇痛效果、产程进展、分娩方式、新生儿窒息发生率、剖宫产率等的差异。结果：研究组镇痛效果非常显著，同时两组第二产程、总产程、分娩方式、产后出血量，新生儿窒息发生率比较无显著性差异（P〉0．05）。结论：腰硬联合阻滞用于分娩镇痛，效果可靠，对母婴无不良影响。

The effect of combined spinal epidural anesthesia for the outcome of subsequent pregnancies

Objective：To investigate the effect of combined spinal epidural anesthesia （CSEA）for the outcome of subsequent pregnancies.Methods：Combined parturient primiparas with single fetus was spinal epidural anesthesia for labor analgesia analgesia in 60 healthy, full-term group and similar condition at the same time, without any anal- gesia measure primiparas was a control group of 60 cases.The analgesic effect, parturient procedure, mode of parturition, postpartum hemorrhage and incidence of neonatal asphyxia were compared.Results：The differences for analgesic effect between study group and control were significant.The differences for the second stage parturient time and total parturient time was not significant（P 〉0.05）.and mode of parturition, postpartum hemorrhage and incidence of neonatal asphyxia are not significant neither （P 〉O.05）.Conclusion：Combined spinal epidural anesthesia is reliable parturition analgesia without any obvious adverse effects on puerpera and infant.