自控式硬膜外阻滞麻醉用于分娩镇痛32例临床分析

目的　探讨持续性硬膜外阻滞麻醉用于分娩镇痛的效果及其对产程的影响。方法　在全程胎心监护下 ,用持续硬膜外阻滞微泵给药对 3 2例孕妇 (观察组 )进行分娩镇痛 ,与同期同条件自然分娩的 3 2例孕妇 (对照组 )作对照 ,比较两组分娩疼痛、产程时间、分娩方式、产后出血、新生儿窒息情况。结果　观察组分娩镇痛效果非常显著 (P <0 .0 1) ,第一产程活跃期缩短 (P <0 .0 1) ,两组顺产、第二产程分娩方式、产后出血、新生儿窒息发生率比较均无显著性差异 ( P >0 .0 5 )。结论　持续性硬膜外阻滞麻醉应用于分娩镇痛 ,效果确切 ,安全 ,对胎儿无不良影响 ,值得临床推广

Clinical analysis of Labor Analgesia in 32 pregnant women by Epidural Anesthesia

Objective To explore the clinical effects of epidural anesthesia during laboring.Methods 64 patients were divided into to two groups: 32 cases of pregnant women underwent epidural anesthesia during laboring. Other 32 pregnant women received without analgesia in the control group. The analgesic effects of epidural anesthesia, the labor course, the mode of delivery, incidence of postpartum hemorrhage, and neonatal asphyxia were observed between the two groups. Results Compared to the control group, the analgesic effects of epidural anesthesia were very significantly different (P<0.01), and the active phase was shortened obviously (P<0.01). There was no significant difference among the numbers of spontaneous labor, the mode of delivery, postpartum hemorrhage, and neonatal asphyxia (P>0.05).Conclusion The analgesia effects of epidural anesthesia were good and safe during laboring, and there were no side effects to the mothers and the infants.