首页|硬脊膜穿破硬膜外技术和腰硬联合技术用于分娩镇痛的效果分析

硬脊膜穿破硬膜外技术和腰硬联合技术用于分娩镇痛的效果分析

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目的 探讨硬脊膜穿破硬膜外(DPE)技术和腰硬联合(CSE)技术用于分娩镇痛的效果.方法 选取本院72例进行分娩的产妇,根据镇痛方式不同分为DPE组(36例)和CSE组(36例).比较两组产妇围手术期有关指标及术中视觉模拟评分法(VAS)评分.结果 CSE组产妇镇痛起效时间快于DPE组产妇,差异有统计学意义(P<0.05).两组产妇PCEA按压次数、Apgar评分、产妇满意例数和T1~T5阶段VAS评分比较,差异无统计学意义(P>0.05).DPE组产妇不良反应总发生率低于CSE组产妇,差异有统计学意义(P<0.05).结论 DPE和CSE两种麻醉方式在产妇分娩中均能有效地提供镇痛效果,相比之下,尽管DPE比CSE的分娩镇痛起效时间慢,但并发症更少,产妇舒适度更高.
Analysis of the effects of epidural puncture technique and lumbar epidural combined technique for labor analgesia
Objective To explore the effects of epidural puncture(DPE)and lumbar spinal combined(CSE)techniques on labor analgesia.Methods 72 parturients who gave birth in our hospital were selected and divided into DPE group(36 cases)and CSE group(36 cases)based on different analgesic methods.Compare perioperative indicators and intraoperative VAS scores between two groups of parturients.Results The analgesic effect time of CSE group was faster than that of DPE group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the number of PCEA compressions,Apgar score,number of satisfied cases,and VAS score between the Tiand T5 stages between the two groups of parturients(P>0.05).The total incidence of adverse reactions in the DPE group was lower than that in the CSE group,and the difference was statistically significant(P<0.05).Conclusion Both DPE and CSE anesthesia methods can effectively provide analgesic effects in postpartum delivery.In contrast,although DPE has a slower onset of labor analgesia than CSE,it has fewer complications and higher maternal comfort.

Epidural puncture techniqueLumbar hard joint techniqueLabor analgesia

贺增举、李晶、张庆源、孔明健

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徐州矿务集团总医院 麻醉科,江苏 徐州 221006

硬脊膜穿破硬膜外技术 腰硬联合技术 分娩镇痛

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(3)
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