摘要探讨初产妇使用分娩镇痛仪、腰硬联合阻滞麻醉两种不同分娩镇痛形式的相关临床效果。研究发现，分娩镇痛仪与腰硬联合阻滞麻醉均可有效减轻分娩疼痛，但腰硬联合阻滞麻醉镇痛效果更优；分娩镇痛仪组的出血量相对少于腰硬联合阻滞组；分娩镇痛仪组的并发症以软产道裂伤为主，而腰硬联合阻滞组以继发性宫缩乏力为主。在有条件的综合性医院腰硬联合阻滞麻醉仍为分娩镇痛首选；分娩镇痛仪作为无创性操作，其优势为操作方便、无需麻醉医师观察，值得在基层医院推广。

abstractsThe purpose of this study was to investigate the clinical efficacy of labor analgesic device vs combined spinal-epidural anesthesia for analgesic in primiparae. The study found that either labor analgesic device or combined spinal-epidural anesthesia could effectively reduce labor pain. While combined spinal-epidural anesthesia resulted in better analgesia, labor analgesic device led to less blood loss. The common complications were were soft birth canal laceration in primiparae with labor analgesic device, and secondary uterine atony in those receiving combined spinal-epidural anesthesia. In resource-accessible general hospitals, combined spinal-epidural anesthesia can be a first choice for labor analgesia. In conclusion, use of labor analgesic device as a non-invasive manipulation, is advantageous in terms of convenience to use and no need for anesthesiologist monitoring, and therefore warrants widespread use in primary hospitals.