论文部分内容阅读
目的比较神经阻滞麻醉复合分次局部浸润麻醉与单纯阴部神经阻滞麻醉在会阴切开缝合术的镇痛效果及安全性。方法选择120例阴道分娩产妇,22～33岁,随机分为观察组(n=60):采用会阴神经阻滞麻醉复合分次局部浸润麻醉和对照组(n=60):采用阴部神经阻滞麻醉。观察并记录两组患者缝合切口时的疼痛程度、缝合时间、产后24h出血量、切口局部水肿、切口舒适度、出院前切口愈合情况、麻醉合并症及用药后的不良反应。结果观察组缝合切口时的麻醉镇痛效果、缝合时间、产后24h出血量、切口舒适度明显优于对照组(P<0.01或P<0.05);两组会阴切口局部水肿情况、会阴切口愈合情况、合并症、不良反应发生率比较差异无统计学意义(P>0.05)。结论两种麻醉方法均可安全用于会阴切开缝合术,但会阴神经阻滞麻醉复合分次局部浸润麻醉的镇痛效果优于单纯神经阻滞麻醉,且操作简单,安全有效,无不良反应,可缩短缝合时间,不影响会阴切口的愈合。
Objective To compare the analgesic effect and safety of nerve block anesthesia combined with fractional partial infiltration anesthesia and simple genitals nerve block anesthesia in perineal incision suture. Methods A total of 120 vaginal delivery women aged 22-33 years were enrolled in this study. Patients were randomly divided into observation group (n = 60), perineural block anesthesia combined with regional infiltration anesthesia and control group (n = 60) anesthesia. The degree of suturing, suture time, postpartum hemorrhage, local incision edema, incision comfort, incision healing before discharge, anesthesia complications and adverse reactions after medication were observed and recorded. Results The anesthesia analgesia, suture time, 24h postpartum hemorrhage and incision comfort were significantly better in the observation group than in the control group (P <0.01 or P <0.05). The local edema of perineal incision and the healing of perineal incision , Complication, the incidence of adverse reactions was no significant difference (P> 0.05). Conclusions Both anesthesia methods can be safely applied in perineal incision and suturing. However, analgesic effect of perineural nerve block anesthesia combined with fractional partial infiltration anesthesia is superior to that of simple nerve block anesthesia, and the operation is simple, safe and effective, without adverse reactions , Can shorten the suture time, does not affect the perineal incision healing.