[摘 要]目的: 探讨腰硬联合麻醉用于无痛分娩的效果和安全性。 方法: 采用腰硬联合麻醉(CSEA)用于无痛分娩的产妇300例为研究组，将无镇痛的产妇300例作对照组。观察两组产妇疼痛情况、产程进展情况、分娩方式、失血量、新生儿Apgar评分。结果: 研究组镇痛有效率100%，研究组与对照组比较，活跃期明显缩短(P<0.01)。 两组产妇分娩方式、产后出血量、新生儿Apgar评分无显著差异 P>0.05)。 结论: CSEA安全有效，对母婴无不良 影响。

    [关键词] 腰硬联合麻醉; 无痛分娩

    Application of combined spinal-epidural labor analgesia

    WU Xue-dong， QIAN Mei-juan， LI Chang-fa， E Yong， ZHAO Jian-hua， FANG Zhi-yuan

    (Department of Anesthesia， the Affiliated Suzhou Municipal Hospital of Nanjing Medical University，Suzhou Jiangsu 215002， China)

    [Abstract] Objective: To evaluate the pain relief effectiveness and safety of combined-epidural labor analgesia(CSEA) . Methods: All of 300 pregnant women were administered by combined subarachnoid and epidural analgesia during labor (study group). And other 300 pregnant women were not administered any labor analgesia (control study).The degree of pain ......