目的：研究硬膜外应用罗哌卡因复合芬太尼注射液在无痛分娩中的效果及安全性。方法：选择自愿接受无痛分娩初产妇120例为镇痛组，自然分娩的初产妇120例为对照组，观察两组产妇镇痛效果、产程时间、分娩方式以及对新生儿和产后出血的影响。结果：镇痛组较对照组镇痛效果明显，能缩短第一产程时间，降低剖宫产率，对新生儿及产后出血无明显影响。结论：罗哌卡因复合芬太尼用于硬膜外分娩镇痛是一种安全有效的无痛分娩方法，值得临床上推广应用。%Objectie:To study the clinical effect and safety of Ropivacaine combined Fentanyl injection in the epidural application of painless clildbirth. Methods :Choose to received primigravida patients 120 of painless childbith as study group, choose natural bith primigravida patients 120 as control group. Study group was adopted epidural puncture anesthesia, Compared two groups of primigravida of production time、aualgesia effect、delivery method and the influence of newborns、postpartum haemorrhage. Result Oberserved group of prinigravida can obviously shorten the first production time and reduse sesarean section rate. There was no significant on newborn Apgar and postpartum hemorrhage. Conclusion: Ropivacaine combined Fentanyl were used for painless childbirth,which is a safe、reliable way of painless,being worthy of the clinical application.
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