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| Application of Analgesic Effect Enhancing of Spinal-Epidural Anesthesia Combined Labor Analgesia Cognition in Maternal |
| Lunjiao Hospital of Shunde District of Foshan City，Foshan 528308，China |
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Abstract Objective：To investigate the analgesic effect enhancing of spinal-epidural anesthesia combined labor analgesia cognition in maternal.Method：The pregnant women and their families were taught by senior anesthesiologist，publicity material released and consulting provided for labor pain，analgesia knowledge，reliability and safety of spinalepidural anesthesia combined labor analgesia，the role of reducing cesarean and improving natural delivery rate.80 maternal who voluntarily accepted labor analgesia as the study object，the other 80 labor analgesia maternal who didn’t accept propaganda education as the control group.When the uterine contracted regularly or uterine mouth opened to 2 cm，L3-4 as the puncture point，subarachnoid injection of Ropivacaine 2 mg & Fentanyl 20 μg.After epidural cannulated，injected for the first dose 5 mL of 0.125% Ropivacain & 0.000 16% Fentanyl，connected with electronic analgesia pump，continued 5 mL/h， PCA 5 mL，locked time 10 minutes，drug stop when the uterine mouth whole opened.The visual analogue scale（ VAS）and labor mode were analyzed by statistical methods in two groups.Result：The VAS of labor score in the study group was significantly lower than the control group（P<0.05），had no significant difference in labor mode between two groups（P>0.05）. Conclusion：The maternal who accept propaganda education can enhance the analgesic effect of epidural anesthesia combined labor analgesia.
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