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[目的]探讨椎管内麻醉应用于分娩镇痛的临床效果。[方法]选择2009年6月～2010年6月在某院住院分娩的产妇120例,按随机数字表法分为观察组和对照组,每组60例。观察组采用自控硬膜外镇痛(PCEA)进行分娩镇痛,对照组未应用任何镇痛措施。比较两组产妇镇痛效果、新生儿Apgar评分和分娩情况。[结果]观察组在第一产程和第二产程时的VAS评分均显著低于对照组(P﹤0.05);观察组自然分娩明显多于对照组(P﹤0.01),而剖宫产明显少于对照组(P﹤0.01);观察组产后出血量和总产程均显著小于对照组(P﹤0.01);观察组新生儿Apgar评分≥8分者明显多于对照组(P﹤0.01)。[结论]椎管内麻醉用于分娩镇痛效果确切,能有效减少剖宫产、产后出血量及新生儿窒息,缩短产程,值得临床推广应用。
[Objective] To investigate the clinical effect of spinal anesthesia on labor analgesia. [Methods] 120 maternal women who were hospitalized for delivery in a hospital from June 2009 to June 2010 were divided into observation group and control group according to random number table method, with 60 cases in each group. The observation group used self-controlled epidural analgesia (PCEA) for labor analgesia, while the control group did not use any analgesic measures. The analgesic effect, neonatal Apgar score and delivery were compared between the two groups. [Results] The VAS scores of the observation group in the first stage of labor and in the second stage of labor were significantly lower than those in the control group (P <0.05). The spontaneous labor in the observation group was significantly more than that in the control group (P <0.01) (P <0.01). The amount of postpartum hemorrhage and total labor in the observation group were significantly less than those in the control group (P <0.01). In the observation group, the Apgar score of ≥8 was significantly higher than that of the control group (P <0.01). [Conclusion] The spinal anesthesia is effective in analgesia during labor and can effectively reduce cesarean section, postpartum hemorrhage and neonatal asphyxia, and shorten labor, which is worth popularizing.