目的:探讨持续硬膜外麻醉分娩镇痛在产程中缩短产程时间、提高自然分娩率的应用价值。方法:选取400例无产科合并症、麻醉科禁忌的初产妇,按自愿要求实施分娩镇痛选取200例为分娩镇痛观察组,并于宫口开大2～4 cm施行持续硬膜外麻醉,对整个过程实施观察和监护;200例未实施分娩镇痛的初产妇做对照组。结果:观察组200例产妇经分娩镇痛,第一产程明显缩短;因无明显疼痛,保存体力,加快第二产程,提高阴道分娩率。结论:应用持续硬膜外麻醉分娩镇痛能达到理想的镇痛效果,促进产程顺利发展,提高产科质量。 Objective: To explore the value of continuous epidural analgesia during childbirth to shorten the duration of labor and increase the rate of spontaneous labor. Methods: A total of 400 primiparous women with obstetrics and gynecology indications were enrolled in this study. 200 cases of labor analgesia were selected according to their voluntary requirements for labor analgesia. The epidural anesthesia was performed in 2 ~ 4 cm of cervix. , The entire process of observation and monitoring; 200 cases did not implement labor analgesia primipara do the control group. Results: The observation group of 200 maternal labor analgesia, the first stage of labor was significantly shortened; due to no obvious pain, physical strength and speed up the second stage of labor to improve vaginal delivery rate. Conclusion: Continuous epidural anesthesia labor analgesia can achieve the desired analgesic effect, promote the smooth development of labor process and improve the obstetric quality.