Objective To study the effects of epidural anesthesia and lumbar anesthesia on natural vaginal de-livery analgesia and neonatal blood gas.Methods We selected two hundred and eight natural vaginal delivery cases from June 2022 to June 2023,which were divided into observation group and control group according to the different anesthesia methods used,one hundred and four cases in each.Control group take epidural anes-thesia,observation group take combined lumbar anesthesia-epidural anesthesia,The visual analogue scale(VAS)before analgesia(T0),at the end of the first stage of labor(T,),at the end of the second stage of la-bor(T2)and at the end of the third stage of labor(T3),the duration of each stage of labor and the neonatal blood gas index were recorded,and the pregnancy outcome and postpartum adverse reactions of the two groups were counted.Results The VAS scores in observation group were(3.13±0.72)at T1,(3.85±0.88)at T2 and(5.28±1.15)at T3,which were lower than those in control group,and the differences were statistically significant(P＜0.05).The first labor time in observation group was(458.85±113.73)min,and the total labor time was(513.02±133.73)min,both of which were lower than those in control group,and the difference was statistically significant(P＜0.05).In observation group,the level of buffer alkali(BB)was(40.46±2.44),the level of alkali residue(BE)was(-5.33±1.72),the level of lactic acid(LAC)was(4.45±1.58)mmol/L,and PH value was(7.30±0.06),and there was no difference compared with control group(P＞0.05).In observation group,there were 95 cases of natural delivery,5 cases of mechanical midw-ifery,4 cases of cesarean section,and 13 cases of perineum incision.The Apgar score was(9.11±0.25),and there was no significant difference compared with control group(P＞0.05).There were 9 cases of nause-a and vomiting,10 cases of pruritus,8 cases of hypotension,2 cases of respiratory depression and 13 cases of motor block in observation group,and there was no significant difference compared with control group(P＞0.05).Conclusion Compared with continuous epidural anesthesia,combined lumbar-rigid anesthesia may better improve analgesia as well as shorten the duration of labor,and both have similar effects on neonatal blood gases.
关键词
连续硬膜外麻醉/腰硬联合麻醉/阴道分娩/分娩镇痛/脐动脉血气
Key words
Epidural anesthesia/Lumbar anesthesia/Natural vaginal delivery/Labor analgesia/Neo-natal blood gas
维普
万方数据