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目的 :探讨在第二产程中应用双侧阴部神经阻滞麻醉的临床效果。方法 :选取2016年3月至2017年3月,在我院选择自然分娩的产妇120例,随机分为观察组(给予双侧阴部神经阻滞麻醉)60例和对照组(给予局部浸润麻醉)60例,比较两组产妇的第二产程时间、疼痛程度、会阴裂伤情况。结果:给予双侧阴部神经阻滞麻醉后产妇的第二产程时间短于对照组;疼痛程度低于对照组;会阴损伤程度优于对照组,差异均具有统计学意义(P<0.05)。结论:在第二产程中给予双侧阴部神经阻滞麻醉,可以明显减轻产妇痛苦,会阴损伤率下降,第二产程时间缩短,值得临床推广应用。
Objective: To investigate the clinical effect of applying bilateral pudendal nerve block anesthesia in the second stage of labor. Methods: From March 2016 to March 2017, 120 cases of spontaneous childbirth in our hospital were selected and randomly divided into observation group (bilateral vaginal nerve block anesthesia) 60 cases and control group (local infiltration anesthesia) 60 cases, comparing the two groups of maternal second stage of labor time, degree of pain, perineal laceration. Results: The time of second stage of labor was shorter than that of the control group. The degree of pain was lower than that of the control group. The degree of perineal injury was better than that of the control group. The difference was statistically significant (P <0.05). Conclusion: Bilateral genital nerve block anesthesia in the second stage of labor can significantly reduce the pain of maternal, perineal injury rate decreased, the time of the second stage of labor shortened, worthy of clinical application.