硬膜外麻醉在分娩镇痛中的临床研究

目的探讨硬膜外麻醉在分娩镇痛中的有效性和安全性。方法采用硬膜外麻醉进行分娩镇痛的产妇360例(研究组),未采取任何镇痛措施的360例产妇(对照组),比较两组分娩疼痛程度、产程时间、新生儿出生评分、产后出血量及阴道助产率。结果研究组镇痛效果明显优于对照组,两组产程长短、新生儿窒息率、阴道助产率及产后出血量均无显著性差异。结论硬膜外分娩镇痛能有效减轻分娩疼痛,对产程无明显影响,不增加新生儿窒息、产后出血及阴道助产率,增强了产妇分娩信心,对降低剖宫产率起到有益作用,值得临床推广。

The clinical observation of epidural anesthesia for labor analgesia

Objective To discuss the effect and safety of epidural analgesia for labor analgesia. Methods 360 women who took epidural anesthesia for labor analgesia were selected as experiment group, while another 360 women were selected as control group which have not been given any labor analgesia.Compared with the labor pain,the stage of labor, Apgar score and postpartum hemorrhage between two groups. Results The analgesic effect was better than control group, the labor pain, the stage of labor, Apgar score, vaginal birth rate and postpartum hemorrhage between two groups were no significant difference. Conclusion Epidural labor analgesia can effectively reduce the labor pain. It has no influence on the total stage of labor, and cannot increase vaginal birth rate, neonatal asphyxia and postpartum hemorrhage. It can enhance the maternity confidence, which is benefit to reduce the rate of cesarean section and worth widely using in clinic.