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| The effect of lumbar-epidural combined block and continuous subarachnoid block for labor analgesia |
| Beijing Obstetrics and Gynecology Hospital, Capital Medical University 100026 |
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Abstract To explore the effect of lumbar-epidural combined block and continuous subarachnoid block for analgesia of women during delivery. Methods: 180 women who had accepted labor analgesia were selected as the research objects and were divided into research group and control group according to random number table from June 2019 to June 2020. The women in the control group were given combined spinal-epidural block, and the women in the research group were given continuous subarachnoid block. Clinical vital signs, motor nerve block analgesic effect, anxiety and depression scores, breastfeeding rate, duration of labor, Apgar score of newborns, postpartum 2h hemorrhage volume, and postpartum complications rate of the women in the two groups were observed. Results: There was no significant difference in vital signs of the women before anesthesia between the two groups. After anesthesia, the motor nerve block rate (1.1%) in the research group was significant lower than that (8.9%) in the control group, and the analgesic effective rate (88.9%) in the research group was significant higher than that (75.6%) in the control group. The conditions of maternal anxiety and depression of the women in the research group were significant better, and the time of the first and the second stage of labor of the women in the research group were significant shorter (all P＜0.05). There were no significant differences in postpartum 2h hemorrhage volume of the women and neonatal Apgar score between the two groups (P＞0.05). The incidence of postpartum complications (1.1%) of the women in the research group was significant lower than that (8.9%) of the women in the control group (P＜0.05). Conclusion: The combined spinal-epidural block has better effect on labor analgesia of the women, which can effectively relieve the pain, shorten the stages of labor, improve the mood of the women, and increase the breastfeeding rate.
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