连续硬膜外阻滞在无痛分娩中的应用

[目的 ]　探讨连续硬膜外阻滞在产科分娩中的镇痛效果。 [方法 ]　采用小剂量、低浓度、低位硬膜外阻滞对70例足月妊娠的产妇行分娩止痛 ,并设对照组 70例。 [结果 ]　镇痛有效率达 10 0 %。病人能安静休息并配合操作 ,两组对比差异有显著性 (P <0 .0 1)。而对产程进展、宫缩强弱、分娩分式、新生儿Apgar评分、产后出血量及产后排尿时间无明显差异 (P >0 .0 5 )。 [结论 ]　硬外麻醉用于分娩止痛安全有效 ,对产程无影响

Consistent peridural anesthesia in painless labor

Objective To explore the analgesia effect of consistent peridural anesthesia in labor. [Methods] 140 puerperas were divided into two groups: study group and control group. Low-dose, low-concentration,low level peridural anesthesia were applied to the 70 puerperas under study. [Results] The effect of analgesia was as high as 100% in the study group, the puerperas kept calm and coorperative which differed significantly with the control group (P<0.01). There were not much difference in labor proceeding, uterine contraction, delivery manner, neonatal Apgar scores, the postpartum bleeding amount and the time of postpartum micturation between the two groups (P>0.05). [Conclusion] Peridural anesthesia is safe and effective for painless labor. It has no influence on uterine contraction.