持续性硬膜外阻滞无痛分娩42例临床分析

目的　探讨持续性硬膜外阻滞应用于分娩的镇痛效果及对母儿的影响。方法　随机选择 42例自愿要求无痛分娩的产妇 ,施行持续硬膜外阻滞 ,同期同条件的 65例产妇作对照。观察镇痛效果、两组的产程、分娩方式、产后出血、使用催产素情况及新生儿阿氏评分 ,并进行统计学处理。结果　镇痛有效率 10 0 % ,两组第二产程均在正常范围内 ,但镇痛组第二产程较对照组明显延长 (P <0 .0 5 ) ,镇痛组更多地使用催产素 (P <0 .0 5 )。两组的顺产、阴道助产、剖宫产、产后出血、新生儿阿氏评分均无显著差异。结论　持续性硬膜外阻滞应用于无痛分娩中 ,镇痛效果确切、安全 ,对母儿无不良影响。

Clinical Analysis on 42 Cases of Labor under Epidural Anesthesia

Objective To explore the clinical effect of epidural anesthesia during labor.Method 42 cases of pregnant woman volunteers were randomizedly given epidural anesthesia during labor,and 65 cases of pregnant women without any application of analgesia served as the control group.The analgesic effect of epidural anesthesia,the stages of labor,the outcome of delivery,the postpartum hemorrhage,application of oxytocin and Apgar score of newborns in two groups were observed,the data was analysed statistically.Results The effective analegsic rate of epidural anesthesia during labor was 100%.The second stage of labor was longer and the application of oxytocin was more in the epidural anesthesia group than that in the control group(P<0.05).There was on significant difference in the numbers of spontaneous labor,transvaginal assisted labor,cesarean section,postpartum hemorrhage and Apgar score of newborns between the two groups.Conclusions The analegsic effect of epidual anesthesia is good and safe during labor,there are no bad influences on pregnancy women and fetus.