河北医学2024，Vol.30Issue(9)：1496-1499,4.DOI:10.3969/j.issn.1006-6233.2024.09.015
超声引导下竖脊肌平面阻滞麻醉与硬膜外麻醉用于无痛分娩的效果和安全性比较
Comparison of the Efficacy and Safety of Ultrasus-Guided Erector Spinal Muscle Plane Block Anesthesia and Epidural Anesthesia for Painless Delivery
摘要
Abstract
Objective:To compare the effect and safety of ultrasound-guided erector spinal muscle plane block anesthesia(ESPB)with epidural anesthesia during painless labor analgesia.Methods:Retro-spectively,80 women admitted from June 2022 to June 2023 were divided into group B(epidural anesthesia,40);comparing the first stage and second stage,neonatal Apgar score(at birth and 5 min),maternal adverse reactions(headache,nausea,vomiting,pruritus,fever),and numerical rating scale(NRS)score in differ-ent periods(30 min before analgesia,10 cm at cervical dilatation,and at delivery).Results:Stage of labor:comparing the first stage of labor in groups A and B,the difference was not significant(P>0.05);the second stage of labor in group A was shorter than group B,and the difference was significant(P<0.05).Apgar score:Groups A and B at 5 min Apgar,the difference was not significant(P>0.05).Adverse reactions:comparing the incidence of headache,nausea,vomiting,itching,and fever in groups A and B,the difference was not significant(P>0.05).NRS score:comparing the NRS score before analgesia,the difference between the two groups was not significant(P>0.05);the NRS score of 30 min analgesia,10 cm cervical dilation was significantly lower than the difference(P<0.05);the NRS score at 30 min analgesia and 10 cm cervical dila-tion was lower than group B,and the difference was significant(P<0.05).Conclusion:In painless labor and analgesia,both ultrasus-guided ESPB anesthesia and epidural anesthesia have good effects and high safety,and ultrasus-guided ESPB anesthesia can further shorten the second stage of labor and have better analgesic effect.关键词
无痛分娩/超声引导/竖脊肌平面阻滞麻醉/硬膜外麻醉Key words
Painless delivery/Ultrasound guidance/Erector spinal muscle plane block anesthe-sia/Epidural anesthesia引用本文复制引用
任伟伟,郝银丽,杨奇星,梁勇..超声引导下竖脊肌平面阻滞麻醉与硬膜外麻醉用于无痛分娩的效果和安全性比较[J].河北医学,2024,30(9):1496-1499,4.基金项目
2022年山西省高等学校科技创新项目,(编号:2022L214) （编号:2022L214）
