硬脊膜穿破硬膜外阻滞联合PIEB技术用于产妇分娩镇痛的临床效果

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 高安市妇幼保健院麻醉科江西高安330800通信作者：单会荣

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过程，分娩疼痛会给产妇带来巨大的恐惧及压力，使产妇生理及心理均处于高度应激状态，影响机体多个系统，如循环、呼吸及内分泌系统等，不利于母婴预后。（剩余5888字）