【摘要】 目的观察硬膜外麻醉用于分娩镇痛的效果及对产程的影响.方法将2011年1至2011年6月360例足月妊娠孕产妇随机分为观察组及对照组,观察组采用硬膜外麻醉无痛分娩,对照组不用任何镇痛药.结果通过对观察组镇痛效果的观察,有效率为98.89%,而对照组有效率为18.84%,明显高于对照组(P<0.05);通过对观察组产妇的新生儿窒息率、宫内窘迫产后出血率和总产程的观察,得出结论是低于对照组(P<0.05);新生儿Apgar评分2组比较无明显差异(P>0.05).结论硬膜外麻醉无痛分娩对母婴影响小,作用可靠,无痛效果显著,能明显缩短产程,可为孕妇提供一个安全舒适,疼痛减轻或无痛的分娩过程.更多还原

【Abstract】 Objective To observe the influence of epidural anesthesia on labor analgesia and the stage of painless labor.Methods From January to June 2011,340 women with full-term pregnancy were randomly assigned into observation group and control group.The women in observation group and control group received epidural anesthesia for painless labor and placebo only,respectively.Results In observation group,the effective rate of analgesia reached 93.33%,which was higher than 18.84% of the control group(P<0.05).Compared with the control group,the cases of fetal distress,asphyxia neonatorum,postpartum hemorrhage and total stage of labor were decreased significantly in observation group(P<0.01).However,there was no significant difference in Apgar score of two groups(P>0.05).Conclusion The treatment of epidural anesthesia for painless labor was reliable and effective.It obviously shortened the stage of labor with little side effect on both mother and infant,and could offer a comfortable and safe delivery with little pain or painless.更多还原