实施硬膜外阻滞麻醉镇痛分娩的临床观察 Clinical Observation on Pain-relieving Labor with Epidural Block Anesthesia

高 明燕¹, mingyan Gao²
1、衡水市第八人民医院
2、Hengshui Eighth People's Hospital

摘要

目的：观察实施硬膜外阻滞麻醉镇痛分娩的临床效果。方法：获得院伦理委员会的准许和产妇及其家属的同意后，抽选我院在2020年4月至2021年3月期间接收的产妇共计89例，按照计算机乱序分组的方式分成两组，即实验A组（n=44，未实施分娩镇痛）和实验B组（n=45，实施硬膜外阻滞麻醉分娩镇痛）。在产妇分娩期间，医护人员要准确和详细记录下需要进行观察的指标，为后期研究提供数据支持。结果：经研究数据可知，实验B组产妇疼痛情况、剖宫产率、产程时间、不良反应发生率显著优于实验A组产妇，两组数据差异较大，P＜0.05。结论：就本次研究所得的具体数据做对比分析发现，在产妇的分娩过程中，需要对产妇实施硬膜外阻滞麻醉分娩镇痛，能够帮助产妇缓解疼痛，缩短产妇的产程，极大降低剖腹产率，减少不良反应发生几率，保障产妇的安全。各项数据对比发现，采用该分娩镇痛方式比之于未实施分娩镇痛具有明显的优势，因而，可推广。 Objective: To observe the clinical effect of epidural anesthesia in relieving labor pain.Methods: After obtaining the permission of the ethics committee of the hospital and the consent of the puerpera and their families,89 puerpera were selected from April 2020 to March 2021. They were divided into two groups according to the computer random sequence, i.e. experimental group A (n=44, no labor analgesia) and experimental group B (n=45, epidural block anesthesia for labor analgesia).During delivery, health care workers should accurately and carefully record the indicators to be observed to provide data support for later studies.Results: The data showed that the incidence of pain, cesarean section rate, duration of labor and adverse reaction in group B was significantly higher than that in group A, and the difference was significant (P <0.05).Conclusion: The comparative analysis of the specific data obtained in this study shows that in the course of parturient delivery, it is necessary to implement epidural block anesthesia for parturient delivery analgesia, which can help parturient relieve pain, shorten parturient delivery, greatly reduce the rate of caesarean section, reduce the incidence of adverse reactions, and ensure the safety of parturient.The comparison of the data shows that the method of labor analgesia has obvious advantages over the method without labor analgesia, so it can be popularized.

关键词

硬膜外阻滞麻醉；产妇；分娩；镇痛 Epidural block anesthesia; parturient; delivery; analgesia

参考

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