| 张华山,孙媛媛,张静.超声引导下阴部神经阻滞对自然分娩产妇产程及新生儿的影响.[J].中南医学科学杂志.,2022,(4):584-587. |
| 超声引导下阴部神经阻滞对自然分娩产妇产程及新生儿的影响 |
| Effects of pudendal nerve block under ultrasound guidance on the course of labor and newborn in natural delivery women |
| 投稿时间：2021-01-26 修订日期：2022-04-06 |
| DOI：10.15972/j.cnki.43-1509/r.2022.04.030 |
| 中文关键词: 自然分娩 产程 新生儿 阴部神经阻滞 |
| 英文关键词:spontaneous delivery course of labor newborns pudendal nerve block |
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| 中文摘要: |
| 目的探究超声引导下阴部神经阻滞对自然分娩产妇产程及新生儿的影响。方法将80例自然分娩的产妇根据不同麻醉方式均分为联合组与对照组。对照组采取硬膜外麻醉,联合组在对照组基础上联合使用阴部神经阻滞。记录两组产妇各产程时间。采用视觉模拟评分(VAS)测量产妇宫口扩张两指、第二产程阻滞10 min后、胎头着冠时及会阴缝合时的疼痛评分。记录两组产妇会阴撕裂程度、产后泌乳时间、产后初次肛门排气时间,以及新生儿体质量、1 min、5 min Apgar评分、血氧饱和度(SpO2)、呼吸频率(HR)。比较两组术后不良反应发生情况。结果联合组第二产程与第三产程时间均短于对照组(P＜0.05)。第二产程阻滞10 min后、胎头着冠时及会阴缝合时,联合组VAS评分均低于对照组(P＜0.05)。联合组产后初次排气及泌乳时间均早于对照组(P＜0.05)。联合组新生儿1 min SpO2高于对照组(P＜0.05)；两组术后不良反应发生情况差异无统计学意义(P＞0.05)。结论硬膜外麻醉联合超声引导下阴部神经阻滞技术具有缩短产程和降低VAS评分的作用,并利于保护新生儿心肺功能。 |
| 英文摘要: |
| To explore the effects of pudendal nerve block under ultrasound guidance on the course of labor and newborns in natural delivery women. MethodsEighty parturients who gave birth naturally in our hospital were divided into combined group and control group according to different anesthesia methods. The control group was given epidural anesthesia, and the combined group was combined with pudendal nerve block on the basis of the control group. The puerpera in both groups were recorded. The pain scores of parturient women with uterine dilation of two fingers, the second labor block for 10 minutes, crown of fetal head and perineal suture were measured by visual analog score (VAS). The degree of perineal tear, postpartum lactation time, postpartum first anal exhaust time, neonatal weight, Apgar score at 1 min and 5 min, blood oxygen saturation (SpO2) and respiratory rate (HR) were recorded. The incidence of postoperative adverse reactions was compared between the two groups. ResultsThe time of the second stage and the third stage of labor in the combined group were shorter than those in the control group(P＜0.05). VAS scores of the combined group were lower than those of the control group after 10 minutes of the second labor block, crown of fetal head and perineal suture(P＜0.05). The postpartum first exhaust and lactation time in the combined group were earlier than those in the control group(P＜0.05). The 1 min SpO2 in the combined group was higher than that in the control group(P＜0.05). There was no significant difference in the incidence of postoperative adverse reactions between the two groups(P＞0.05).ConclusionEpidural anesthesia combined with ultrasound-guided pudendal nerve block can shorten the second stage of labor and reduce VAS score, which is benefit for the protection of neonatal cardio-pulmonary function. |
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