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目的探讨蛛网膜下腔-硬膜外联合阻滞麻醉用于分娩镇痛的临床疗效。方法将120例初产妇随机分为对照组(未分娩镇痛)和观察组(分娩镇痛),每组各60例,对两组镇痛效果、分娩镇痛对产程的影响,以及分娩方式进行比较。结果与对照组相比,观察组第一、二产程0～Ⅰ级镇痛率(95.0%、81.7%)明显提高,第一产程明显缩短,阴道分娩率(90%)明显升高,剖宫产率(10%)显著降低,差异有统计学意义(P<0.05)。结论蛛网膜下腔-硬膜外联合阻滞麻醉用于分娩镇痛,明显缩短第一产程,改善妊娠结局。
Objective To investigate the clinical effects of subarachnoid-epidural block anesthesia on labor analgesia. Methods 120 cases of primiparous women were randomly divided into control group (no labor analgesia) and observation group (childbirth analgesia), 60 cases in each group. The analgesic effect, labor analgesia on labor process and the mode of delivery Compare. Results Compared with the control group, the rates of 0 ~ Ⅰ analgesia in the first and second stage of labor in the observation group were significantly increased (95.0%, 81.7%), the first stage of labor was significantly shortened, the vaginal delivery rate (90%) was significantly increased, The yield (10%) decreased significantly, with significant difference (P <0.05). Conclusions Subarachnoid - epidural block anesthesia is used for labor analgesia, shortening the first stage of labor and improving the pregnancy outcome.