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目的:观察蛛网膜下腔联合硬膜外镇痛分娩的有效性和对产程的影响。方法:自愿接受分娩镇痛且无禁忌症的足月初产妇128例为研究组,随机抽取同期无分娩镇痛的足月初产妇128例为对照组,观察两组第一、二、三产程的时间、产后出血量、新生儿Apgar评分、分娩方式。结果:研究组分娩镇痛有效,加速产程,降低剖宫产率,两组产后出血,新生儿Apgar评分无明显差异。结论:蛛网膜下腔联合硬膜外镇痛分娩效果好,副作用小,值得临床推广。
Objective: To observe the effectiveness of subarachnoid combined with epidural analgesia and delivery and the impact on labor process. Methods: 128 full-term primipara received voluntary labor-induced analgesia and no contraindications were selected as the study group. 128 full-term primiparae women without labor pain were randomly selected as the control group. The first, second and third labor duration , Postpartum hemorrhage, neonatal Apgar score, mode of delivery. Results: The study group was effective in labor analgesia, accelerated labor process, reduced cesarean section rate, postpartum hemorrhage in both groups, Apgar score no significant difference. Conclusion: The combination of subarachnoid and epidural analgesia is effective in delivery and has few side effects. It is worthy of clinical promotion.