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硬腰联合镇痛在顺产分娩中的应用 被引量:6

Application of spinal combined with epidural anesthesia analgesia in spontaneous delivery
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摘要 目的探讨采用腰硬联合镇痛的安全性及其对分娩的影响。方法 120例符合经阴道分娩指征产妇随机分为对照组及研究组,对照组产妇采用常规阴道分娩,研究组采用腰硬联合阻滞无痛分娩,观察两组分娩过程及新生儿结局差异。结果研究组顺产成功率高于对照组,两组产钳助产率无显著差异,研究组第二产程长于对照组,两组全产程时间差异无统计学意义。两组新生儿1 min Apgar评分比较差异无统计学意义,胎儿窘迫发生率、新生儿窒息发生率差异无统计学意义。结论腰硬联合镇痛能够提高阴道顺产的成功率,对新生儿健康无明显影响,具有较高的安全性。 Objective To investigate the safety of spinal combined epidural anesthesia in spontaneous delivery and effect to delivery. Methods All of 120 eases of puerpera that was provided with indication of spontaneous delivery were selected and divided into research group and control group, parturient taken common spontaneous in control group and childbirth with- out pain with spinal combined epidural anesthesia, process of delivery and outcome of fetus were contrasted between re- search group and control group. Results Aachievement ratio of spontaneous delivery was higher in research group than in control group, rate of obstetrical forceps was identical between research group and control group, time of second birth pro- cess was longer in research group than in control group, time of whole birth process was identical between research group and control group, neonatal score of Apgar was identical between research group and control groups. Incidence rate of fetal dis- tress and neonatal asphyxia was identical between research group and control group. Conclusion Spinal combined epidural anesthesia analgesia improve achievement ratio of spontaneous delivery, and has not effect to newborn and has high safety.
作者 凌华萍
出处 《中国现代医生》 2012年第12期34-35,共2页 China Modern Doctor
关键词 无痛分娩 镇痛 产程 APGAR评分 新生儿 Parturition Analgesia Birth process Score of Apgar Newborn
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