【摘要】 目的 探讨硬膜外阻滞麻醉用于轻、中度妊高征初产妇分娩镇痛的临床应用效果。方法 采轻、中度妊高征初产妇40例作为镇痛组，行硬膜外持续微泵给药进行分娩镇痛;随机选择40例相同条件的病例作为对照组，不予干预。观察两组产妇的镇痛效果、血压、呼吸、脉膊及血氧饱和度、宫缩、产程进展、分娩方式、产后出血量及新生儿出生后Apgar评分和脐动脉血pH。结果 镇痛组分娩镇痛效果非常显著(P<0.001)，血压低、活跃期时间明显缩短、钳产剖宫产率低、产后出血少、新生儿出生后1min Apgar评分和脐动脉血pH值高，两组比较差异有显著性(P<0.05);而产妇的脉膊和呼吸、宫缩、第二产程时间、新生儿出生后5min Apgar评分两组比较差异均无显著性(P>0.05)。结论 轻、中度妊高征初产妇采用硬膜外持续微泵给药分娩镇痛是一种安全、用效的治疗方法。

    Liu Peiyu，Guo Jiefei，Zheng Guangjun.

    Maternity and Health Institute of Dongguan，Guangdong523002.

    【Abstract】 Objective To investigate the effect of preidural blocking analgesia in stage of labor in primipara with mild or moderate pregnat hypertension.Methods 40moderate or mild pregnancy induced hypertension primipara accepted pain free labour by analgesia of epidural blocking were taken as study group.Another40with the same conˉditions without any analgesia were taken as the control group.Maternal uterine contractility，improved cardiotocogram pattern of fetal heart monitor the pain relief effect ......