分娩镇痛在产程中的应用价值

目的:探讨持续硬膜外麻醉分娩镇痛在产程中缩短产程时间、提高自然分娩率的应用价值。方法:选取400例无产科合并症、麻醉科禁忌的初产妇,按自愿要求实施分娩镇痛选取200例为分娩镇痛观察组,并于宫口开大2～4 cm施行持续硬膜外麻醉,对整个过程实施观察和监护;200例未实施分娩镇痛的初产妇做对照组。结果:观察组200例产妇经分娩镇痛,第一产程明显缩短;因无明显疼痛,保存体力,加快第二产程,提高阴道分娩率。结论:应用持续硬膜外麻醉分娩镇痛能达到理想的镇痛效果,促进产程顺利发展,提高产科质量。

Application value of labor analgesia during the stages of labor

Objective:To explore the application value of continuous epidural anesthesia for labor analgesia in shortening the duration time of the stages of labor and improving the rate of spontaneous labor.Methods:A total of 400 primiparous women without obstetrical complications and anaesthetic contraindications were selected,then they were divided into observation group and control group according to the principle of voluntariness: 200 primiparous women in observation group adopted labor analgesia,and epidural anesthesia was conducted when the dilatation of uterine cervix was 2-4 cm,the whole course was observed and monitored;200 primiparous women in control group didn’t adopt labor analgesia.Results:The first stage of labor in observation group was shortened significantly;because of painlessness,the primiparous women conserved their physical strength,so the second stage of labor was fastened,and the rate of vaginal delivery was improved.Conclusion:Continuous epidural anesthesia for labor analgesia can achieve an ideal analgesic effect,promote the smooth development of the stages of labor,and improve the quality of obstetric department.