Abstract：Objective: To compare the effect and safety of ultrasound-guided erector spinal muscle plane block anesthesia (ESPB) with epidural anesthesia during painless labor analgesia.Methods: Retrospectively, 80 women admitted from June 2022 to June 2023 were divided into group B (epidural anesthesia, 40); comparing the first stage and second stage, neonatal Apgar score (at birth and 5 min), maternal adverse reactions (headache, nausea, vomiting, pruritus, fever), and numerical rating scale (NRS) score in different periods (30 min before analgesia, 10 cm at cervical dilatation, and at delivery).Results: Stage of labor: comparing the first stage of labor in groups A and B, the difference was not significant (P>0.05); the second stage of labor in group A was shorter than group B, and the difference was significant (P<0.05). Apgar score: Groups A and B at 5 min Apgar, the difference was not significant (P>0.05). Adverse reactions: comparing the incidence of headache, nausea, vomiting, itching, and fever in groups A and B, the difference was not significant (P>0.05). NRS score: comparing the NRS score before analgesia, the difference between the two groups was not significant (P>0.05); the NRS score of 30 min analgesia, 10 cm cervical dilation was significantly lower than the difference (P<0.05); the NRS score at 30 min analgesia and 10 cm cervical dilation was lower than group B, and the difference was significant (P<0.05).Conclusion: In painless labor and analgesia, both ultrasus-guided ESPB anesthesia and epidural anesthesia have good effects and high safety, and ultrasus-guided ESPB anesthesia can further shorten the second stage of labor and have better analgesic effect.
[1] 王鹏.右美托咪定复合罗哌卡因硬膜外麻醉在无痛分娩中的应用效果[J].中国现代药物应用,2023,17(11):108-110. [2] 金刚.硬膜外麻醉在妇产科无痛分娩中的效果观察[J].航空航天医学杂志,2022,33(10):1194-1197. [3] 强朝阳.初产妇硬膜外麻醉无痛分娩的效果及对分娩结局的影响[J].安徽医专学报,2022,21(4):127-129. [4] 赵娜,李晓光,汪愫洁等.分娩镇痛硬膜外间隙镇痛药液用量对中转剖宫产时硬膜外麻醉效果的影响:前瞻性队列研究[J].协和医学杂志,2021,12(3):339-345. [5] Vilchis R J S,Peng P W H,Forero M.The erector spinae plane block for obstetric analgesia:a case series of a novel technique.[J].Anaesthesia reports,2020,8(2):584-589. [6] Jeong Y B,Kyung E L,Heejoon J,et al.Analgesic efficacy of erector spinae plane block in patients undergoing major gynecologic surgery:a randomized controlled study[J].Journal of Clinical Anesthesia,2024,11(8):93-98. [7] Broek D V C J R,Postema C M J,Koopman A H S J,et al.Continuous erector spinae plane block versus thoracic epidural analgesia in video-assisted thoracoscopic surgery:a prospective randomized open-label non-inferiority trial.[J].Regional anesthesia and pain medicine,2024,5(14):843-847. [8] C.J R B D V,A.H S J K,C.M J P,et al.Continuous erector spinae plane block versus thoracic epidural analgesia in video-assisted thoracic surgery:a study protocol for a prospective randomized open label non-inferiority trial[J].Trials,2021,22(1):637-643. [9] Zanfini A B,Muro D M,Biancone M,et al.Ultrasound-guided bilateral erector spinae plane bock vs.Ultrasound-guided bilateral posterior quadratus lumborum block for postoperative analgesia after caesarean section:an observational closed mixed cohort study[J].Journal of Clinical Medicine,2023,12(24):814-818. [10] Dostbil A,Ince I,Altinpulluk E Y,et al.Analgesic effect of erector spinae plane block after cesarean section:a randomized controlled trial.[J].Nigerian journal of clinical practice,2023,26(2):395-401.
2024, Vol. 30 
冀公网安备13080202000677号