【摘要】 目的探讨阶梯式镇痛分娩的效果及对产程、新生儿的影响。方法将400例进入活跃期的产妇分成4组,其中3组为实验组,分别采用肌注药物、氧化亚氮吸入,硬膜外病人自控镇痛(PCEA)方法;另1组为对照组,未实施任何镇痛。结果实验组镇痛有效率优于对照组,有显著性差异(P<0.05);实验各组产程时间缩短;剖宫产率实验组比对照组明显降低,有显著性差异(P<0.05);新生儿阿氏评分和产后出血量实验组与对照组比较无显著性差异(P>0.05)。结论阶梯式镇痛是安全、有效的分娩镇痛方法。更多还原

【Abstract】 Objective To evaluate the effectiveness and effects on the labor and neonates of delivery with multi-step anesthesia method. Methods 400 patients at active delivery stage were divided into 4 groups randomly. Intramuscular medication, N2O inhalation and patient-controlled epidural anesthesia were applied in test group 1, 2 and 3 respectively. The control group was applied nothing. Results The effectiveness of the 3 test groups were better than the control group(P<0.05). The delivery time was shorter and the cesarean rate was much lower in the test groups than those in the control group(P<0.05). There were no difference in neonate score and post-delivery hemorrhage between the test groups and the control group(P>0.05). Conclusions Multi-step anesthesia was a safe an effective way in delivery anesthesia.更多还原