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目的通过对比分析,探讨腰-硬联合阻滞(CSEA)在分娩镇痛中的效果及价值,旨在寻找一种理想的分娩镇痛方式。方法选取桃源县人民医院2009年12月至2010年12月分娩的单胎头位足月初产妇90例,分为3组,各30例,A组不作任何镇痛;B组为硬膜外阻滞加硬膜外自控镇痛组;C组为腰-硬联合阻滞加硬膜外自控镇痛组,比较3组分娩效果。结果 VAS评分、产程时间、分娩结局C组优于其他组,差异有统计学意义(P<0.05);C组起效时间和持续时间优于B组差异有统计学意义(P<0.05)。结论腰-硬联合阻滞能够达到比较理想的镇痛效果,且对产程和母婴无影响,值得临床推广。
Objective To compare and analyze the effect and value of waist-hard combined block (CSEA) in labor analgesia in order to find an ideal way of labor analgesia. Methods Totally 90 primiparae primiparous women with full-term birth were selected from Taoyuan County People’s Hospital from December 2009 to December 2010. They were divided into 3 groups (30 in each group), and group A was given no analgesia. Group B was epidural resistance Delayed plus epidural analgesia group; C group for the waist - hard combined with epidural analgesia plus control group, the efficacy of three groups of delivery. Results The VAS score, labor time and delivery outcome in group C were better than those in other groups (P <0.05). The onset time and duration of group C were better than those in group B (P <0.05). Conclusion The combined lumbar-hard block can achieve the ideal analgesic effect and has no effect on labor and maternal and infant. It is worthy of clinical promotion.