摘要
目的:比较无痛分娩镇痛中超声引导下竖脊肌平面阻滞麻醉(ESPB)与硬膜外麻醉的效果及安全性。方法:回顾性选取2022年6月至2023年6月入院的80例产妇,参考麻醉方式的不同分为A组(ESPB,40例)与B组(硬膜外麻醉,40例);比较两组产妇的第一产程、第二产程,新生儿Apgar评分(出生时、出生后5min),产妇不良反应(头痛、恶心呕吐、瘙痒、发热)与镇痛前、分娩完成时数字评定量表(NRS)评分。结果:产程:A、B组产妇第一产程比较,差异无统计学意义(P>0.05);A组第二产程短于B组,差异有统计学意义(P<0.05)。Apgar评分:A、B组新生儿出生时、出生后5min Apgar评分比较,差异无统计学意义(P>0.05)。不良反应:A、B组产妇不良反应总发生率比较,差异无统计学意义(P>0.05)。NRS评分:镇痛前,两组产妇NRS评分比较,差异无统计学意义(P>0.05);分娩完成时,两组产妇的NRS评分均明显低于镇痛前,差异有统计学意义(P<0.05);A组分娩完成时的NRS评分均低于B组,差异有统计学意义(P<0.05)。结论:无痛分娩镇痛中超声引导下ESPB麻醉与硬膜外麻醉均具有良好效果,安全性高,且超声引导下ESPB麻醉可进一步缩短产妇第二产程时间,止痛效果更佳。
Objective:To compare the effect and safety of ultrasound-guided erector spinal muscle plane block anesthesia(ESPB)with epidural anesthesia during painless labor analgesia.Methods:Retrospectively,80 women admitted from June 2022 to June 2023 were divided into group B(epidural anesthesia,40);comparing the first stage and second stage,neonatal Apgar score(at birth and 5 min),maternal adverse reactions(headache,nausea,vomiting,pruritus,fever),and numerical rating scale(NRS)score in different periods(30 min before analgesia,10 cm at cervical dilatation,and at delivery).Results:Stage of labor:comparing the first stage of labor in groups A and B,the difference was not significant(P>0.05);the second stage of labor in group A was shorter than group B,and the difference was significant(P<0.05).Apgar score:Groups A and B at 5 min Apgar,the difference was not significant(P>0.05).Adverse reactions:comparing the incidence of headache,nausea,vomiting,itching,and fever in groups A and B,the difference was not significant(P>0.05).NRS score:comparing the NRS score before analgesia,the difference between the two groups was not significant(P>0.05);the NRS score of 30 min analgesia,10 cm cervical dilation was significantly lower than the difference(P<0.05);the NRS score at 30 min analgesia and 10 cm cervical dilation was lower than group B,and the difference was significant(P<0.05).Conclusion:In painless labor and analgesia,both ultrasus-guided ESPB anesthesia and epidural anesthesia have good effects and high safety,and ultrasus-guided ESPB anesthesia can further shorten the second stage of labor and have better analgesic effect.
作者
任伟伟
郝银丽
杨奇星
梁勇
REN Weiwei;HAO Yinli;YANG Qixing(Linfen People's Hospital,Shanxi Linfen 041000,China)
出处
《河北医学》
CAS
2024年第9期1496-1499,共4页
Hebei Medicine
基金
2022年山西省高等学校科技创新项目,(编号:2022L214)。
关键词
无痛分娩
超声引导
竖脊肌平面阻滞麻醉
硬膜外麻醉
Painless delivery
Ultrasound guidance
Erector spinal muscle plane block anesthesia
Epidural anesthesia
