椎管内阻滞用于分娩镇痛的观察

目的观察腰硬联合麻醉与单纯硬膜外麻醉用于分娩镇痛的效果。方法将自愿接受分娩镇痛的产妇40例随机分成硬膜外阻滞(CEA组)与腰硬联合阻滞(CSEA组)各20例,另随机抽取40例未施行分娩镇痛者作为对照组。在镇痛效果、产程进展、分娩方式、新生儿窒息等方面进行比较。结果 3组在产程进展、分娩方式、新生儿窒息差异无显著性。在分娩镇痛方面,CSEA组镇痛效果优于CEA组,2组比较有显著差异。结论椎管内麻醉镇痛效果好,安全性高,适用于分娩镇痛,CSEA法比CEA法镇痛效果更佳。

Clinical valuation on intrathecal block for pain relief in labor

Objective To observe the effect of spinal analgesia combined with epidural anesthesia for pain relief in labor.Methods 80 puerpera divide two groups randomly;40 puerpera on epidural anesthesia and 40 puerpera on spinal-epidural anesthesia.Another 80 puerperans without anesthesia as matched group.Compare the anesthesia effect,progress of labor,asphyxia neonatorum.Results they were not significant differences at progress of labor,asphyxia neonatorum between anesthesia group and matched group.But spinal-epidural anesthesia group was superior to simplicity epidural anesthesia group at anesthesia effect,there were significant differences.Conclusion There were definite anesthesia effect and high safety with intravertebral anesthesia as analgesia of parturition.and spinal-epidural anesthesia was more definite than simplicity epidural anesthesia.