摘要
目的:观察罗哌卡因与芬太尼的混合液用于硬膜外可行走分娩镇痛的效果,探讨镇痛最适时间。方法:200例初产妇随机分为5组:A组(n=40)宫口扩张小于2cm时行镇痛;B组(n=40)宫口扩张至3cm时行镇痛;C组(n=40)宫口扩张至4cm时行镇痛;D组(n=40)宫口扩张至5cm或以上时行镇痛;E组(n=40)为对照组。镇痛组均应用0.12%罗哌卡因加芬太尼2μg/m l混合液镇痛。比较各组的镇痛效果、运动功能的评分、产妇的生命体征、胎心率(FHR)、产程时间、分娩方式、助产率、催产素用量以及新生儿A pgar评分、产后出血量等。结果:ABCD各组产妇均获得良好的镇痛效果,与E组比较均有极显著性差异(P<0.01)。各组的产程时间、分娩方式、助产率、催产素用量及新生儿A pgar评分、NACS评分、产后出血量无明显差异(P>0.05)。结论:硬膜外可行走分娩镇痛最适时间应根据产妇意愿而决定。
Objective： To observe the efficacy of ropivacaine combined with fentanyl for ambulatory epidural analgesia, and explore the most fit time of its. Methods： 200 primiparae were randomly divided into five groups： group A （n = 40） received analgesia when the cervix uteri dilated less than 2cm; group B （n = 40） received analgesia when up to 3cm; group C （n = 40） received analgesia when up to 4cm; group D （n = 40） received analgesia when up to or larger than 5cm; group E （n = 40） was the control group. The antalgic groups received epidural analgesia with 0.12% ropivaeaine and 2 microg/ml fentanyl. In each group, the analgesia effect, motor function score, puerperas＇ vital signs, fetal heart rate（FHR）, labor time, labor mode, delivery rate, oxytocin dosage, Apgar score, postpartum blood loss were observed. Results： In groups A, B and C, the analgesia effect was better, but in group D, the satisfaction of analgesia effect was 60%. In comparison of groups A, B, C, D and group E, there were statistically significant differences in analgesia effect （P 〈 0.01）. But there were no statistically significant differences in the labor time, labor mode, delivery rate, oxytocin dosage, Apgar score, NACS score and postpartum blood loss （P 〉 0.05）. Conclusion： The most fit time for ambulatory epidural labor analgesia is dependent on puerperas＇ will.
出处
《华夏医学》
CAS
2006年第1期36-38,共3页
Acta Medicinae Sinica
关键词
无痛分娩
硬膜外麻醉
罗哌卡因
labor analgesia
anaesthesia epidural, ropivacaine
