不同镇痛分娩方法的临床效果比较分析

目的:比较分析不同镇痛分娩方法的临床效果及对产妇和新生儿的影响。方法:随机选取2009年4月至2010年4月在本院分娩480例产妇,随机分为A、B、C组,每组160例。A组产妇采用腰硬联合麻醉(腰硬联合麻醉组):B组吸入含50%笑气(氧化亚氮)和150%氧气的混合气体(笑气组);C组为空白对照。分别观察各组的镇痛效果、产程时间等。结果:A、B组有效率均明显高于C组,A组有效率均明显高于B组;差异均有统计学意义(P<0.05)。三组产妇各产程时间比较差异均无统计学意义(P>0.05)。结论:笑气吸入的镇痛效果虽然稍次于自控硬膜外镇痛组,但经济、方便简单,安全可靠,无明显不良反应,值得基层医院临床广泛推广;腰硬联合麻醉镇痛起效迅速、效果最佳,对产妇及新生儿无明显副作用,可作为分娩镇痛的首选方法。

Comparative Analysis on Clinical Effects of Different Means for Analgesia Labor

Objective:Comparative analysis of different delivery method to the clinical analgesic effect and the impact on maternal and newborn.Methods:Randomly selected from April 2009 to April 2010 480 patients in the hospital delivery,were randomly divided into A,B,C group(n=160 cases).Group A of maternal use of epidural anesthesia.Group B with 50%nitrous oxide inhalationand 50%in oxygen. Group C as control group.Results:Group A,B was significantly higher than the group C effectively.Group A was significantly higher than the effective rate of group B;differences were statistically significant.Three groups were compared the difference in labor time were not statistically significant.Conclusion:Although the analgesic effect of nitrous oxide is slightly inferior to epidural analgesia group,but the economic,convenient and simple,safe,reliable,no significant adverse reactions,it is widely Primary Clinical;lumbar epidural anesthesia rapid onset of analgesia,best,no significant maternal and neonatal side effects,can be used as the preferred method of labor analgesia.