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腰麻-硬膜外联合阻滞用于分娩镇痛临床研究
引用本文:韩彩虹,周和中. 腰麻-硬膜外联合阻滞用于分娩镇痛临床研究[J]. 亚太传统医药, 2012, 8(7): 129-131
作者姓名:韩彩虹  周和中
作者单位:益阳市资阳区妇幼保健院,湖南益阳,413001
摘    要:
目的:探讨腰麻-硬膜外联合阻滞用于分娩镇痛的临床效果。方法:回顾性分析466例初产妇病历资料,腰麻-硬膜外联合阻滞镇痛的产妇205例作为研究组,未采用任何镇痛方法的261例产妇为对照组,比较两组之间产程经过、分娩方式及新生儿Apgar评分等临床指标。结果:与对照组相比,研究组副作用少,产程明显缩短(P<0.05),缩宫素使用增加(P<0.05);新生儿窒息发生率、Apgar评分与对照组相比差异均无统计学意义。结论:腰麻-硬膜外联合阻滞用是一种安全有效的分娩镇痛方法。

关 键 词:分娩腰麻-硬膜外联合阻滞  麻醉  镇痛

Clinical Research of Combined Subarachnoid-epidural Analgesia
Han Caihong , Zhou Hezhong. Clinical Research of Combined Subarachnoid-epidural Analgesia[J]. Asia-Pacific Traditional Medicine, 2012, 8(7): 129-131
Authors:Han Caihong    Zhou Hezhong
Affiliation:(The Maternal and Child Health Hospital of Ziyang District in Yiyang city,Hunan 413001 ,China)
Abstract:
Objective:To approach the clinical efficacy of combined subarachnoid-epidural analgesia(CSEA). Methods:Retrospec- tive analysis of cases data of 466 healthy nulliparas. CSEA was conducted in 205 primiparas,with 261 cases as control group. Labor, delivery, the Apagar score of newborn were compared. Results:Compared with control group labor progress with CSEA was bovious short (P〈0.05), oxytocin decreased(P〈0.05). The incidence of neonatal asphyxia and Apagar score were similar to that of con- trol group. Conclusion:CSEA can be applied safely and effectibely to labor pain relief.
Keywords:Combined Subarachnoid-epidural Analgesia  Anestbesia  Analgesia.
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