Analysis of the effect of combined spinal epidural block on pain relief during childbirth in pregnant women
腰麻-硬膜外结合阻滞在孕妇分娩镇痛中的效果分析

摘要

目的 探讨腰麻-硬膜外麻醉结合阻滞麻醉对于缓解孕妇分娩镇痛的效果。方法 样本对象为80例于2023年1月至2024年2月期间在本院分娩的孕妇，根据选择的镇痛模式分组，接受连续硬膜外麻醉的30例定义为对照组，接受腰麻-硬膜外结合阻滞的50例定义为观察组，观察两组的生命体征、镇痛效果以及产程情况。结果 观察组麻醉后的心率和血氧值均优于对照组（P＜0.05）；观察组的第1、2、3产程疼痛程度轻于对照组，时间短于对照组；观察组和对照组剖宫产率分别为14.00%及20.00%。结论 孕妇分娩镇痛时，使用腰麻-硬膜外结合阻滞麻醉的方式效果显著，并能够有效缩短产程，值得推荐使用。

Abstract

Objective To explore the effect of epidural anesthesia combined with block anesthesia on relieving pain during childbirth in pregnant women.
Methods The sample subjects were 80 pregnant women who gave birth in our hospital between January 2023 and February 2024 According to the selected analgesia mode, they were divided into two groups: 30 who received continuous epidural anesthesia were defined as the control group, and 50 who received combined spinal epidural block were defined as the observation group. The vital signs, analgesic effect, and labor process of the two groups were observed.
Results The heart rate and blood oxygen levels of the observation group after anesthesia were better than those of the control group (P < 0.05); the degree of pain during the first, second, and third stages of labor in the observation group was less than that in the control group, and the duration was shorter than that in the control group; the cesarean section rates of the observation group and the control group were 14.00% and 20.00%, respectively.
Conclusion   The use of lumbar epidural combined anesthesia for pain relief during childbirth in pregnant women is significantly effective and can effectively shorten the labor process, and is recommended for use.