联合应用蛛网膜下腔及硬膜外腔麻醉镇痛在分娩中的效果分析

目的探讨在临床针对产妇分娩过程中采用不同麻醉方式的临床实际效果差异,从而为临床麻醉实践提供指导和依据。方法选取该院2010—2012年期间收治的产妇100例为研究对象,根据产妇分娩过程中实施麻醉方法的不同随机分成为硬膜外麻醉组和联合麻醉组,每组50例,观察比较两组产妇实施不同麻醉方法后的麻醉起效时间、分娩过程中辅助用药情况以及分娩过程中肌肉松弛满意情况。结果在麻醉起效时间上,硬膜外麻醉组患者的麻醉起效时间显著地长于联合麻醉组患者的麻醉起效时间;在产妇分娩过程中辅助用药情况上,硬膜外麻醉组患者在分娩过程中辅助用药比例高于联合麻醉组患者的水平;在分娩过程中肌肉松弛满意情况上,硬膜外麻醉组患者肌肉松弛满意情况明显劣于联合麻醉组患者的水平,且组间比较差异有统计学意义(P<0.05)。结论在临床针对产妇分娩过程实施麻醉镇痛的实践过程中,与单纯硬膜外麻醉方式相比较,采用联合应用蛛网膜下腔及硬膜外腔麻醉镇痛方式的临床效果显著,是临床针对产妇分娩过程实施麻醉镇痛的可靠方式。

The Analysis of the Effect for Combined Subarachnoid and Epidural Anesthesia Analgesia in Childbirth

Objective Investigate the differences of the effect of different anesthetic methods in clinical practice, so as to provide guidance and basis for clinical anesthesia practice. Method 100 women in our hospital from 2010 to 2012 were chosen as the research object. According to the method of implementation of anesthesia during delivery, they were divided into two groups, respectively the epidural anesthesia group and the combined anesthesia group, and 50 cases in each group. The parturients muscles of different anesthesia methods after the onset of anaesthesia time, the delivery process of adjuvant and delivery process of relaxation between the two groups were compared. Results In the onset time of anesthesia, epidural anesthesia anesthesia onset time were significantly longer than the combined anesthesia onset time of anesthesia group; in the labor process auxiliary medication, epidural anesthesia group patients during adjuvant combined anesthesia group were higher than the level in the delivery process of muscle; relaxation and satisfaction, epidural anesthesia group patients with muscle relaxation satisfaction were significantly inferior to the joint anesthesia group level, and compared between groups, P〈0.05, the differences were with statistical significances. Conclusion In the implementation of the birth process in clinical practice of anesthesia and analgesia, compared with simple epidural anesthesia, the clinical efficacy of combined subarachnoid and epidural anesthesia analgesia is significant, and it is a reliable way for clinical on parturient implement reliable anesthesia analgesia.