Application comparison of dural penetrating epidural block and direct epidural block in labor analgesia
YAN Ming1 ZHANG Yufeng1 LI Xiaoqiong2 CUI Enhui1 DING Song1 SUN Jian1
1.Department of Anesthesiology, Huai’an Maternal and Child Health Care Hospital, Jiangsu Province, Huai’an 223002, China;
2.Department of Obstetrics and Gynecology, Huai’an Maternal and Child health Care Hospital, Jiangsu Province, Huai’an 223002, China
Abstract：Objective To compare the application effect of dural penetrating epidural block and direct epidural block in labor analgesia. Methods From January 2019 to January 2020, 112 parturients who need labor analgesia in Huai’an Maternal and Child Health Hospital of Jiangsu Province were selected as study objects. They were divided into group A and B according to random number table method, with 56 parturients in each group. Group A was received direct epidural block analgesia and group B was received dural penetrating epidural block analgesia. The changes of each index were monitored between two groups. Results There were no significant differences in labor stages and neonatal Apgar score between two groups (P > 0.05). There was no significant difference in visual analogue scale (VAS) score between two groups before analgesia (P > 0.05), after analgesia, VAS scores at each time point in group B were lower than those in group A, and the differences were statistically significant (P < 0.05). The levels of serum pain mediators 5-hydroxy tryptamine, substance P and neuropeptide in the first, second and third labor stages in group B were lower than those in group A, with statistically significant differences (P < 0.05). The rate of good analgesia in group B was higher than that in group A, and the difference was statistically significant (P < 0.05). There was no significant difference in the incidence of adverse events and delivery mode between two groups (P > 0.05). The labor satisfaction of group B was higher than that of group A, and the difference was statistically significant (P < 0.05). Conclusion Compared with direct epidural block, the application value of dural penetrating epidural block in labor analgesia is relatively ideal.
2020, Vol. 17 
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