Clinical research of lumbar and epidural anesthesia on analgesia efficacy in puerperae with prolonged incubation delivery
10.7619/jcmp.201715025
- VernacularTitle:腰麻-硬膜外联合麻醉用于分娩潜伏期延长产妇镇痛的临床研究
- Author:
Yacong WANG
1
;
Shuli LI
;
Xiaoming CHEN
Author Information
1. 河北省廊坊市大厂回族自治县人民医院
- Keywords:
lumbar and epidural anesthesia;
childbirth;
anesthesia;
prolonged incubation
- From:
Journal of Clinical Medicine in Practice
2017;21(15):92-94
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore effect of the lumbar and epidural anesthesia for puerperae with prolonged incubation delivery.Methods A total of 100 puerperae with prolonged incubation delivery were selected, the full-term primiparae with analgesia were as observation group, and primiparae without analgesia were as control group.Observation group was given 2 mL anesthetics(ropivacaine for 2 mg and fentanyl for 10 μg) injected in the subarachnoid gap, and PCA pump was connected after 60 min.After the fetus was delivered, the epidural cavity administration was stopped.The control group implemented routine processing.Labor time, delivery methods, use condition of oxytocin, and neonatal Apgar score were observed.Results The observation group had better analgesic efficacy, and longer second stage of labor than the control group(P<0.01).Observation group had shorter first stage of labor and lower cesarean section rate than the control group.There was no significant difference in third stage of labor and neonatal Apgar scores.Conclusion Lumbar and epidural anesthesia with significant efficacy can shorten the first stage of labor, reduce cesarean section rate and adverse reactions of puerperae and newborns.
