罗呱卡因联合芬太尼硬膜外阻滞麻醉用于分娩镇痛108例分析

摘要

Objective To investigate the ropivacaine epidural anesthesia combined with fentanyl analgesia effect and the impact on the safety of mother and child,the incubation period to analyze the feasibility of labor analgesia.Methods Voluntary requirements of lumbar epidural anesthesia for labor analgesia of 108 cases of women in the observation group,did not implement the same period 100 cases of mater-nal pain control group.Comparison of two maternity analgesia,duration of labor,use of oxytocin,neonatal asphyxia,and postpartum hemor-rhage.Analgesic timing of different latencies group active phase group were compared childbirth labor time,oxytocin use,neonatal asphyxia, and postpartum hemorrhage.Results The visual analog scale (Visual analogue scale,VAS)scores were significantly lower than the control group (P<0.05 ),but the increase oxytocin usage was significantly different (P<0.05 );groups of neonatal asphyxia,postpartum hemor-rhage,labor time was no significant difference (P>0.05);between the timing of different analgesic latencies group and active group of neo-natal asphyxia,postpartum hemorrhage,duration of labor was not statistically significant (P>0.05).Conclusion Ropivacaine fentanyl an-algesia epidural anesthesia effect is good,no adverse effects on mother and child,the incubation period analgesia feasible to meet the needs of the entire production process,is worthy of further promotion.%目的：探讨罗呱卡因联合芬太尼硬膜外阻滞麻醉分娩镇痛的效果及对母儿安全性的影响，潜伏期进行分娩镇痛可行性的分析。方法选择自愿要求硬膜外阻滞麻醉分娩镇痛的108例产妇为观察组，同期未实施镇痛的100例产妇为对照组。比较两组产妇分娩镇痛效果、产程时间、催产素使用、新生儿窒息及产后出血情况。镇痛时机的选择不同的潜伏期组与活跃期组，比较两组分娩产程时间、催产素使用、新生儿窒息及产后出血情况。结果观察组视觉模拟评分明显低于对照组（P＜0．05），但增加催产素使用率（P＜0．05）；两组新生儿窒息、产后出血、产程时间比较差异无统计学意义（P＞0．05）；镇痛时机的选择不同的潜伏期组与活跃期组间新生儿窒息、产后出血、产程时间比较差异无统计学意义（P＞0．05）。结论罗呱卡因联合芬太尼硬膜外阻滞麻醉分娩镇痛的效果好，对母儿无不良影响，潜伏期可行分娩镇痛，满足整个产程的需要，值得临床进一步推广应用。