腰-硬联合麻醉在无痛分娩中的应用效果

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Abstract Objective To study the application effect of combined lumbar-epidural anesthesia in painless delivery.Methods A total of 100 women with painless delivery admitted to the Second People's Hospital of Jingdezhen from January 2021 to December 2022 were selected as the study objects.They were divided into observation group (n=52) and control group(n=48)according to different anesthesia regimen.The control group received epidural anesthesia,and the observation group received lumbo-epidural anesthesia.The onset time of anesthesia effect,delivery duration,pain degree,anesthesia adverse reaction,pregnancy outcome and neonatal Apgar score were compared between the two groups.Results The onset time in the observation group was shorter than that in the control group,and the difference was statistically significant (P＜0.05).The duration of the first and second stages of delivery in the observation group was shorter than that in the control group,the difference was statistically significant (P＜0.05).There was no significant difference in the duration of the third stage of delivery between the two groups (P＞0.05).The pain scores 5,30 and 60 min after anesthesia in the observation group were lower than those in the control group,and the differences were statistically significant(P＜0.05).The incidence of anesthesia related adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).The Apgar score of neonates 1 min after birth in observation group was higher than that in control group,and the difference was statistically significant (P＜0.05).Conclusion In painless delivery,epidural anesthesia and combined lumbo-epidural anesthesia can both achieve analgesic effects,but the combined lumbo-epidural anesthesia has more obvious advantages,mainly reflect in the rapid effect of anesthesia,good analgesic effect during the operation,shorten the delivery duration,improve the safety of anesthesia,avoid related complications,and have clinical promotion value.

Key words： Combined spinal-epidural anesthesia Painless delivery Delivery duration Delivery outcome

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