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目的:比较通过硬膜外针直接注射与硬膜外导管注射局部麻醉药两种方式对分娩镇痛的影响。方法:选取2018年6—9月福建省妇幼保健院产科收治的80例健康待产妇,年龄(27.1±3.0)岁,年龄范围为20~32岁,采用随机数表法将产妇随机分为硬膜外针组和硬膜外导管组,每组40例。通过硬膜外针与硬膜外导管分别对两组产妇进行分娩镇痛,记录比较两种镇痛方式的镇痛效果及对产妇与胎儿的影响。结果:硬膜外针组最终有36例产妇纳入研究,硬膜外导管组最终有35例产妇纳入研究。两组产妇一般资料比较,差异无统计学意义(n P>0.05)。硬膜外针组疼痛缓解时间[(9.27±5.40)min]与感觉达到平面Tn 10的时间[(7.35±4.76)min]均快于硬膜外导管组[(12.12±4.12)min、(11.00±3.31)min],差异均有统计学意义(n P0.05)。两组产妇满意度、并发症发生率比较,差异无统计学意义(n P>0.05)。n 结论:硬膜外针麻醉镇痛效果和感觉阻滞的起效时间均优于导管麻醉,且不影响分娩镇痛质量,具有较高的患者满意度及安全性。“,”Objective:To compare the effects of epidural needle injection and epidural catheter injection on labor analgesia.Methods:A total of 80 healthy expectant mothers admitted to the department of Obstetrics of Fujian Provincial Maternity and Children′s Hospital from June to September 2018 were selected.The age was(27.1±3.0)years old and ranging from 20 to 32 years old.The parturients were randomly divided into epidural needle group(n n=40)and epidural catheter group(n n= 40). Labor analgesia was administered to two groups of participants by epidural needle and catheter, and the analgesic effects of both analgesia methods and their effects on parturients and fetuses were recorded and compared.n Results:Finally, the study included 36 parturients in the epidural needle group and 35 parturients in the epidural catheter group.There was no significant difference in general data between the two groups(n P>0.05). Both the pain relief time [(9.27±5.40)minutes]and the sensation time of Tn 10 [(7.35±4.76)minutes]in the epidural needle group were faster than in the epidural catheter group [(12.12±4.12)minutes, (11.00±3.31)minutes], and the differences were statistically significant(n P0.05). There was no significant difference in maternal satisfaction and in the incidence of complications between the two groups(n P>0.05).n Conclusion:The analgesic effects of epidural needle and the onset time of the sensory block were better than those of catheter and did not affect the quality of labor analgesia, with higher patient satisfaction and safety.