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2000年8月至2002年8月,我院应用联合麻醉方法镇痛,安全分娩产妇共320例。现报告如下。 资料与方法:对320例分娩产妇在产程活跃期应用联合麻醉分娩方法,在初产妇宫口开大3cm,经产妇窗口开大2cm时,由麻醉师使用弧面带有背孔的硬膜外穿刺针,按硬膜外麻醉操作进针至硬膜外腔,确认无脑脊液流出后,将一长度大于硬膜外穿刺针1.2cm的特制细针,置于硬膜外穿刺针空芯中,使其从背孔穿出孔芯后刺于蛛网膜下腔,见脑脊液流出后,一次注入布比卡因0.125％(内含芬太尼0.01mg)2ml,退出腰穿细针,见无脑脊液流出,置硬膜外导管干硬膜外腔,待2次用药备用。 结果:无痛分娩第1产程、第2产程时间较正常分娩时间明显缩短,因此,减少了胎儿在产道内的时间,降低了新生儿窒息发生率。320例中,无1例新生儿死亡,行剖宫产者38例。 讨论:分娩疼痛不仅给产妇带来巨大的肉体痛苦,而且因
August 2000 to August 2002, our hospital anesthesia combined analgesia, 320 cases of safe delivery of mothers. The report is as follows. Materials and Methods: 320 cases of childbirth in active labor during the delivery of anesthesia combined with the method of birth in the first maternal cervix open large 3cm, the maternal window to open large 2cm, by the anesthesiologist using arcuate back with a hole in the epidural Needle, according to the operation of epidural anesthesia needle into the epidural space, confirmed no cerebrospinal fluid after the efflux, a length greater than epidural needle 1.2cm fine needle, placed in the hollow core of the epidural needle, Make it pierce the hole from the back hole piercing the subarachnoid space, see cerebrospinal fluid outflow once injected with bupivacaine 0.125% (containing fentanyl 0.01mg) 2ml, exit the lumbar needle, see no cerebrospinal fluid Outflow, set epidural catheter dry epidural space, until 2 times spare. Results: The painless childbirth of the first stage of labor, the second stage of labor was significantly shorter than the normal delivery time, therefore, reducing the fetal time in the birth canal and reduce the incidence of neonatal asphyxia. Among the 320 cases, none of the newborns died and 38 were cesarean. Discussion: Labor pain not only causes great physical pain to mothers, but also because of