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目的探讨硬膜外麻醉镇痛与水针镇痛的镇痛效果及对母婴的影响。方法在产妇宫口开2～3cm时,采取镇痛措施:观察1组选择30例利多卡因+杜冷丁硬膜外镇痛;观察2组选择120例布比卡因+芬太尼硬膜外镇痛;观察3组选择水针镇痛。同期条件相似,未予任何镇痛药物产妇100例为对照组。分别观察镇痛效果、产程时间、分娩方式、产后出血量、新生儿窒息等进行对比分析。结果硬膜外镇痛和水针镇痛与对照组比较,镇痛效果明显,硬膜外镇痛效果更优于水针镇痛,二种镇痛方法使产程缩短,剖宫产率下降,不增加阴道助产率、产后出血、新生儿窒息。结论硬膜外分娩镇痛安全有效,对母婴无不良影响,能缩短产程、降低剖宫产率,采用低浓度布比卡因辅以芬太尼比利多卡因+杜冷丁更具优势、副作用小,但需要有一定医疗条件单位使用。水针镇痛方便、有效、易行、无创伤性,适于基层推广应用。
Objective To investigate the analgesic effects of epidural anesthesia and aqueous acupuncture analgesia and their effects on maternal and infant. Methods In the maternal cervix open 2 ~ 3cm, to take analgesic measures: a group of 30 cases were selected lidocaine + dolantin epidural analgesia; observed 120 cases of bupivacaine + fentanyl dura mater External analgesia; observe the three groups choose water acupuncture analgesia. Similar conditions over the same period, without any analgesic maternal 100 cases for the control group. Analgesic effects were observed, labor process, mode of delivery, postpartum hemorrhage, neonatal asphyxia comparative analysis. Results Epidural analgesia and aqueous acupuncture analgesia compared with the control group, analgesic effect is obvious, epidural analgesic effect is superior to acupuncture analgesia, two methods of analgesia to shorten the birth process, cesarean section rate decreased, Do not increase the vaginal delivery rate, postpartum hemorrhage, neonatal asphyxia. Conclusion Epidural analgesia is safe and effective, and has no adverse effect on maternal and infant. It can shorten the labor process and reduce the rate of cesarean section. Adopting low concentration of bupivacaine combined with fentanyl and lidocaine + Small side effects, but need to have certain medical conditions unit use. Water injection analgesic convenient, effective, easy, non-invasive, suitable for promotion and application of grassroots.