Abstract:【Objective】To compare the effects of different anesthesia methods on maternal vaginal delivery.【Methods】A total of 200 women with vaginal delivery in our hospital were randomly divided into two groups according to different anesthesia methods, with 100 cases in each group. In the observation group, 1% lidocaine was used to block the bilateral perineal nerve block while fetal exposed part was lowered to about 0.5 ~ 1cm under the sciatic spine. Then the local infiltration anesthesia was performed before perineotomy. In the control group, when the fetal head was exposed, 1% lidocaine local infiltration anesthesia and perineal nerve block anesthesia were performed before episiotomy. Perineal pain and tear in the two groups were observed and compared. 【Results】The incidence of perineal pain in the observation group was significantly lower than that in the control group (P<0.05). The proportion of perineal tears in the observation group was significantly lower than that in the control group (P<0.05). The second stage of labor and postpartum hemorrhage in the observation group were significantly lower than those in the control group (P<0.05). The time to get out of bed after surgery and length of hospitalization in the observation group were significantly less than those in the control group (P<0.05). 【Conclusion】1% lidocaine of bilateral perineal nerve block and local infiltration anesthesia before perineotomy has a good effect, which can reduce the pain and tear of the perineum and shorten the second stage of labor.
王翠香. 两种会阴神经阻滞麻醉方法在初产妇阴道分娩中的效果比较[J]. 医学临床研究, 2019, 36(5): 882-883.
WANG Cui-xiang. Effect of Different Anesthesia Methods on Vaginal Delivery in Puerperal. JOURNAL OF CLINICAL RESEARCH, 2019, 36(5): 882-883.
[1] 李娜.两种麻醉方式在自然分娩产妇中的应用疗效比较[J].实用临床医药杂志,2017,21(7):193-194. [2] 秦静.无创接生联合阴部神经阻滞麻醉在自然分娩中的应用价值[J].湖南师范大学学报(医学版),2017,14(2):94-97. [3] 赵清清,田凤璞,李秀梅,等.双侧阴部神经阻滞麻醉在无保护接生技术中的应用效果[J].实用医药杂志,2017,34(10):907-908. [4] Gaudet-Ferrand I, Arena PDL, Bringuier S, et al. Ultrasound-guided pudendal nerve block in children: A new technique of ultrasound-guided transperineal approach[J]. Paediatr Anaesth, 2018, 28(1):53-56. [5] 陈玲.双侧会阴阻滞麻醉在会阴无保护接生中的应用及效果[J].当代护士(中旬刊),2017,6(5):56-57. [6] 何江红.不同助产方式配合无保护会阴接生的临床分析[J].中国社区医师,2018,34(10):140-141. [7] Mostafa M F, Herdan R, Elshazly M. Comparative study of levobupivacaine and bupivacaine for bilateral maxillary nerve block during pediatric primary cleft palate surgery: a randomized double-blind controlled study[J]. Korean J Anes, 2018, 71(2):135-140. [8] 麻睿骏,叶秋玉,章玲斌,等.椎管内阻滞麻醉对经阴道分娩产妇产后盆底肌功能恢复的影响[J].中国性科学,2016,25(12):109-111.