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目的:观察全程腰-硬联合神经阻滞分娩镇痛对产妇的影响。方法:80例ASAI级的单胎足月初产妇,随机分为全产程分娩疼痛组(A组),活跃期分娩镇痛组(C组)。A、C组均采取腰-硬联合神经阻滞麻醉镇痛。A组产妇进入产程时给予镇痛至产后2h;C组产妇宫颈口开至>3cm时给予镇痛至宫口开全。观察两组产妇总产程,缩宫素使用率、不同时段VAS评分、产妇不良反应,新生儿Apgar评分,产妇满意度。结果:比较两组产妇总产程时间、缩宫素使用率、产后出血量、新生儿Apgar评分差异无统计学意义(P>0.05);A组第一产、第三产程、VSA评分明显低于C组(P<0.05);A组产妇满意率80%,B组产妇满意率60%。结论:对产妇进行腰-硬联合神经阻滞麻醉的全程分娩镇痛可以减少产妇的疼痛,提高产妇分娩的满意度。
OBJECTIVE: To observe the effect of full-term combined spinal-epidural analgesia on maternal labor. Methods: Eighty ASAI single term single term full term pregnant women were randomly divided into full-term labor pain group (group A) and active labor analgesia group (group C). A, C group were taken waist - hard anesthesia analgesia. A group of women into the labor process to give analgesia to postpartum 2h; C group of maternal cervix to> 3cm to give analgesia to open the cervix. Observe the two groups of maternal total labor, oxytocin use rate, VAS score at different periods, maternal adverse reactions, neonatal Apgar score, maternal satisfaction. Results: There was no significant difference in the total labor duration, oxytocin use rate, postpartum hemorrhage volume and neonatal Apgar score between the two groups (P> 0.05). The first trimester, the third trimester and the VSA score in group A were significantly lower than C group (P <0.05); A group of maternal satisfaction rate of 80%, B group maternal satisfaction rate of 60%. CONCLUSIONS: Full labor analgesia of the mother with lumbar-hard combined block anesthesia can reduce maternal pain and improve the satisfaction of childbirth.