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中国临床药理学与治疗学 ›› 2003, Vol. 8 ›› Issue (3): 320-322.

• 研究原著 • 上一篇    下一篇

腰硬联合麻醉用于分娩镇痛的临床研究

张永凤, 程明华1, 徐岚, 周家芳2   

  1. 汕头大学医学院第一附属医院妇产科, 1麻醉科, 汕头 515041, 广东; 2武汉市第八医院妇产科, 武汉430030, 湖北
  • 收稿日期:2003-01-03 修回日期:2003-02-12 出版日期:2003-06-26 发布日期:2020-11-25
  • 通讯作者: 张永凤, 女, 学士, 副教授, 副主任医师, 主要从事妇产科基础与临床研究。Tel:0754-8940142 E-mail:laocmh@21cn.com

Efficacy of combined spinal and epidural anesthesia for labor analgesia

ZHANG Yong-Feng, CHENG Ming-Hua1, XU Lan, ZHOU Jia-Fang2   

  1. Deartment of Obstetrics &Gynecology, 1Department of Anesthesiology, First Affiliated Hospital, Medical College of Shantou University, Shantou 515041, Guangdong; 2Department of Obstetrics &Gynecology, Wuhan Eighth Hospital, Wuhan 430030, Hubei
  • Received:2003-01-03 Revised:2003-02-12 Online:2003-06-26 Published:2020-11-25

摘要: 目的: 探讨腰硬联合麻醉(CSEA) 减轻或消除产痛以及对产程、胎儿、分娩方式的影响。方法: 选择305 例无产科及麻醉禁忌症的初产妇, 在产程进入活跃早期宫口开大3 ~ 4 cm 时, 给予腰硬联合麻醉(观察组), 并与同期条件相似、未给予任何镇痛方法的305 例初产妇进行对比(对照组)。比较两组产妇产痛程度、产程进展速度、分娩方式及对胎儿的影响。结果: 观察组镇痛有效率较对照组明显升高(P<0.01), 且活跃期较对照组明显缩短, 宫颈口扩张速度加快, 经阴道分娩助产率增高(P <0.05)。胎儿窘迫及新生儿窒息、产后出血发生率两组则无显著的统计学意义(P >0.05)。结论: CSEA 可有效用于分娩镇痛、加速产程, 且对胎儿及产妇无不良影响, 值得推广应用。

关键词: 药效学, 腰硬联合麻醉, 分娩, 镇痛, 产程, 分娩方式

Abstract: AIM: To investigate the effects of combined spinal and epidural anesthesia (CSEA) on relieving and eliminating labor pain and the effects on newborns, labor process and delivery mode. METHODS: 305 cases without any obstetric and anesthetic contraindications were selected for the study group, and CSEA was applied when cervix dilated for about 3 -4 cm.305 pregnant women with similar obstetric condition as control group without any anesthesia.The labor pain, duration delivery mode and fetal status compared in the two groups. RESULTS: CSEA group showed good effect on relieving labor pain, shortening the active phase of labor course, and accelerating cervical dilation.There are no different in the incidence of fetal distress, neonatal asphyxia and postpartum hemorrhage between two groups. CONCLUSION: The CSEA is useful in relieving labor pain and accelerating labor course without any side effect on fetus.

Key words: pharmacodynamics, combined spinal and epidural anesthesia, labor, analgesia, duration of labor, mode of delivery

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