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目的探讨硬膜外阻滞麻醉结合导乐陪伴分娩镇痛的效果及其对产程、分娩方式、产后出血、母儿并发症的影响。方法将住院拟经阴道分娩的正常初产妇200例随机分为两组,观察组100例实行导乐陪伴加活跃期硬膜外阻滞麻醉镇痛分娩,对照组100例实行传统分娩,观察两组产妇的镇痛效果、产程、分娩方式、产后出血及镇痛对母儿的不良反应等。结果观察组镇痛效果与对照组比较差异有统计学意义(P<0·01),产程有明显缩短(P<0·01),观察组与对照组剖宫产率差异有统计学意义(P<0·05),观察组母儿均无明显不良反应。结论硬膜外阻滞麻醉结合导乐分娩镇痛的效果好,能缩短产程,降低剖宫产率,提高产科质量,是比较理想的分娩镇痛方法。
Objective To investigate the effect of epidural anesthesia combined with puerarin on labor analgesia and its effects on labor course, mode of delivery, postpartum hemorrhage and maternal complications. Methods 200 cases of normal primiparous women who were hospitalized for vaginal delivery were randomly divided into two groups. 100 cases in the observation group received analgesia and childbirth during the period of epidural block, 100 cases in the control group received traditional labor and observed two Group analgesic effect of labor, labor, delivery mode, postpartum hemorrhage and analgesia adverse reactions to the mother and child. Results The analgesic effect of the observation group was significantly different from that of the control group (P <0.01), and the birth process was significantly shortened (P <0.01). The difference of the cesarean section rate between the observation group and the control group was statistically significant (P < P <0.05), no significant adverse reactions in the observation group maternal and child. Conclusion Combined epidural anesthesia with labor-induced labor analgesia is effective, can shorten the labor process, reduce the rate of cesarean section and improve the quality of obstetrics, is an ideal method of labor analgesia.