硬膜外阻滞麻醉用于无痛分娩的效果及安全性

张慧泉1 ，郑时学2

（1.陕西省商洛市镇安县人民医院妇产科，陕西 商洛，711500；2.陕西省商洛市镇安县云盖寺镇中心卫生院计划生育科， 陕西 商洛，711511）

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摘要：

目的 探究产妇在无痛分娩时采用硬膜外阻滞麻醉的临床效果。方法 取2015年1月至2016年10月我院分娩的178例足月孕产妇，随机将其分为对照组（n=92）和试验组（n=86），对照组产妇接受自然分娩，试验组产妇接受无痛分娩，采用硬膜外阻滞麻醉。对比两组产妇疼痛程度，宫缩时间、产程及并发症发生情况。结果 试验组的镇痛有效率为96.51%，明显高于对照组的1.09%（P<0.05）；试验组的第一产程明显短于对照组（P<0.05）；而两组产妇的宫缩时间，第二、三产程及并发症发生率比较，差异均不显著（P>0.05）。结论 采用硬膜外阻滞麻醉对孕产妇实施无痛分娩，能显著缓解其疼痛，缩短其第一产程时 间，提高分娩率，安全可靠。

关键词：硬膜外阻滞麻醉；无痛分娩；安全性

中图分类号：R714.3文献标志码：A文章编号：2096-1413(2017)26-0046-02

Effect and safety of epidural block anesthesia in painless labor
ZHANG Hui-quan 1, ZHENG Shi-xue 2
(1. Department of Gynaecology and Obstetrics, Zhen``an County People``s Hospital, Shangluo 711500; 2. Department of Family Planning,
Yungai Temple Town Central Health Center of Zhen``an County, Shangluo 711511, China)

ABSTRACT: Objective To explore the clinical effect of epidural block anesthesia in pregnant women with painless labor. Methods One hundred and seventy-eight cases of full-term pregnant women from January 2015 to October 2016 in our hospital were selected, which were randomly divided into control group (n=92) and experimental group (n=86). The control group received natural childbirth, while the experimental group received painless labor with epidural block anesthesia. The degree of pain, the time of contraction, the labor time and the complications were compared between the two groups. Results The effective rate of analgesia in the experimental group was 96.51%, which was significantly higher than 1.09% of the control group (P<0.05). The first stage of labor in the experimental group was significantly shorter than that in the control group (P<0.05). There were no significant differences in contraction time, second and third stage of labor and complication rate between the two groups (P>0.05). Conclusion The use of epidural block anesthesia in pregnant women with painless labor can significantly alleviate the pain, shorten the first stage of labor, improve the delivery rate, which is safe and reliable.
KEYWORDS: epidural anesthesia painless; painless labor; safety

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