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目的比较腰硬联合阻滞与硬膜外阻滞用于分娩镇痛的效果、安全性及对产程、剖宫产率的影响。方法自愿接受分娩镇痛的产妇120例,随机分为腰硬联合组(A组,n=60),硬膜外组(B组,n=60)。比较两组在用药剂量、镇痛效果、产程进展、剖宫产率等几方面有无差别。结果 A、B两组在镇痛效果、安全性方面差异无统计学意义;而A组在产程进展、镇痛起效时间、镇痛满意率上明显优于B组;A组使用的药物剂量较低,剖宫产率也明显低于B组。结论与硬膜外阻滞相比,腰硬联合阻滞用于分娩镇痛效果确切,用药剂量较少,缩短产程且剖宫产率较低。
Objective To compare the effects of combined spinal-epidural blockade and epidural blockade on labor analgesia, safety and the effects on labor and cesarean section rate. Methods A total of 120 maternal women receiving labor analgesia were randomly divided into two groups: group A (n = 60), group B (n = 60) and group B (n = 60). Comparison of the two groups in the dose, analgesic effect, labor progress, cesarean section rate and other aspects of whether there is any difference. Results There was no significant difference in analgesic efficacy and safety between group A and group B. Group A was superior to group B in labor progress, analgesic onset time and analgesic satisfaction rate. Group A used the drug dose Lower, cesarean section rate was significantly lower than the B group. Conclusion Compared with epidural block, the combined spinal and epidural blockade is effective in analgesia during labor, with less dosage, shorter labor and lower cesarean section rate.