硬脊膜穿破硬膜外阻滯聯(lián)合PIEB技術(shù)用于產(chǎn)婦分娩鎮(zhèn)痛的臨床效果

Clinical Effect of Dural Puncture Epidural Combined with PIEB Technique for Labor Analgesia in Parturients/SHAN Huirong， CHEN Minmin， XIE Gangwen. //Medical Innovation of China， 2025， 22（12）： 127-130

[Abstract]Objective： To investigate the analgesic efect of dural puncture epidural combined with programmed intermittent epidural bolus （PIEB）during delivery in parturients. Method： A total of 98 parturients who received labor analgesia in Gao'an Matermal and Child Health Hospital from April 2022 to April 2024 were divided into two groups according to random number table method， with 49 cases in each group.Thecontrol group received epidural block combined with PIEB，and the observation groupreceived dural puncture epidural combined with PIEB.The analgesic effect， onset time of analgesia and the incidenceof breakthrough pain，sacrococcygeal block insuficiency，delivery mode， neonatalasphyxia and adverse reactions were compared between the two groups. Result：Theonsettimeofanalgesiaintheobservation groupwasshorterthanthatinthecontrol group，andthe visual analogue scale（VAS） score at was lower than that in the control group， the differences were statistically significant （ P <0.05）.The incidences of breakthrough pain and sacrococcygeal block insuffciency in observation group were lower than those in control group， the differences were statistically significant （ P <0.05）. There were no significant differences in theincidences of vaginal delivery，cesarean section，assted apparatus delivery，neonatalasphyia and the total incidence of adverse reactions between the two groups （ P> 0.05）. Conclusion： Dural puncture epidural combined with PIEB for parturients labor analgesia has rapid onset and good analgesic efect， which can reduce

① 高安市婦幼保健院麻醉科江西高安330800通信作者：單會(huì)榮

the incidence of breakthrough painand sacrococcygeal block insuficiency， and has no obvious adverseeffectson parturients and neonates.

[Key words] Parturients Labor analgesia Dural puncture epidural Programmed intermittent epidura bolus Epidural block Onset time of analgesia Adverse reactions

First-author's address： Department of Anesthesiology， Gao'an Maternal and Child Health Hospital， Gao'an 330800， China doi：10.3969/j.issn.1674-4985.2025.12.031

分娩是女性特殊的生理過程，分娩疼痛會(huì)給產(chǎn)婦帶來巨大的恐懼及壓力，使產(chǎn)婦生理及心理均處于高度應(yīng)激狀態(tài)，影響機(jī)體多個(gè)系統(tǒng)，如循環(huán)、呼吸及內(nèi)分泌系統(tǒng)等，不利于母嬰預(yù)后。（剩余5888字）