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目的对比硬膜外麻醉与腰硬联合麻醉在分娩镇痛中的应用效果。方法 91例产妇随机分为两组,对照组(44例)选择硬膜外麻醉,观察组(47例)选择腰硬联合麻醉,对比两组麻醉效果。结果观察组镇痛起效时间(3.5±0.4)min与对照组(6.7±1.9)min比较明显较短,各个阶段的视觉模拟评分法(VAS)评分相较于对照组较低,两组镇痛起效时间与镇痛效果比较,差异有统计学意义(P<0.05)。结论分娩镇痛中应用腰硬联合麻醉镇痛起效时间短,效果好,切实可行,值得推广。
Objective To compare the effect of epidural anesthesia with spinal and epidural anesthesia in labor analgesia. Methods 91 cases of maternal women were randomly divided into two groups. The control group (44 cases) received epidural anesthesia. The observation group (47 cases) received combined spinal and epidural anesthesia. The anesthetic effect was compared between the two groups. Results The onset time of analgesia in the observation group (3.5 ± 0.4) min was significantly shorter than that in the control group (6.7 ± 1.9) min, and the visual analogue scale (VAS) score in each stage was lower than that in the control group. Pain onset time and analgesic effect, the difference was statistically significant (P <0.05). Conclusions The analgesic effect of labor combined with spinal anesthesia during labor analgesia is short, effective, practical and worth promoting.