目的：探讨产程不同时期实施分娩镇痛对分娩结局的影响。方法以2014年4月～2015年12月于我院分娩的40例产妇为研究对象，依镇痛时期不同将入选产妇分为两组。两组产妇于不同产程时期采用罗哌卡因、芬太尼联合用药镇痛。比较两组分娩结局。结果实验组产妇潜伏期疼痛减轻明显，VAS评分组间比较差异有统计学意义（P＜0.05）；实验组产妇宫缩素应用率（30.0%）高于对照组（15.0%），组间比较有统计学意义（P＜0.05）。其余产程时间内的VAS评分、产妇分娩方式、新生儿Apgar评分的组间比较，差异均无统计学意义（P＞0.05）。结论罗哌卡因与芬太尼联合用药阻滞麻醉，分娩镇痛效果显著，用药时间对分娩结果无明显影响，应用安全有效。%Objective To explore the effect of labor analgesia on the outcome of delivery in different stages of labor.Methods 40 cases of maternal were chosen as the research object from April 2014 to December 2015 in our hospital, according to the different analgesic period will be in two groups of women were divided into groups. Two groups of mothers in different labor period with ropivacaine and fentanyl analgesia. Comparison of two groups of labor outcome.Results Parturient women in the experimental group and latent period of pain was signiifcantly reduced, the VAS score difference between the two groups has statistical signiifcance (P<0.05). Experimental group of maternal uterine hormone application rate (30.0%) higher than that of the control group (15.0%), group compared with statistical significance (P<0.05). Comparison of VAS score, the methods of delivery, neonatal Apgar score, the house labor time in the group, there were no statistical differences (P>0.05).Conclusion Anesthesia with ropivacaine and fentanyl anesthesia, analgesia effect, duration of delivery results without obvious effect, application is safe and effective.
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