摘要
目的探讨次髎穴位注射联合硬膜外阻滞分娩镇痛的方法及临床效果。方法选择ASAⅠ～Ⅱ级,足月单胎初产妇90例,随机分成A组、E组、C组各30例。当宫口开3cm时,A组:次髎穴位注射分娩镇痛;E组:硬膜外阻滞分娩镇痛,镇痛药为0.075%罗哌卡因及芬太尼2μg/ml;C组:结合A组和E组方法,但镇痛药为0.075%罗哌卡因。观察三组间分娩过程中镇痛效果、触觉阻滞程度、产程及分娩方式、新生儿Apgar评分及不良反应。结果A组镇痛效果差于C组(P<0.05);E组有部分产妇出现皮肤瘙痒、尿潴留等不良反应;三组间触觉均未被明显阻滞,分娩方式及新生儿Apgar评分差异无统计学意义(P>0.05)。结论次髂穴位注射联合0.075%罗哌卡因硬膜外阻滞分娩镇痛效果好,无不良反应。
Objective To discuss whether the separating block of sensory nerve with acupoint-injection and epidural analgesia by ropivacaine during labour, Methods Ninty full term primigravidae with ASA Ⅰ-Ⅱ were randomly divided into 3 groups： group E（ n = 30）, group C（ n = 30） and group A（ n = 30）. When the external cervical os was dilated to 3cm, group A： acupiont-injection, to Ci Liao; group E： epidural analgesia with 0. 075 % ropivacaine and fentanyel 2μg/ml;group C：combining group A and group E except fentanyef 2μg/ml. Level of pain（VAS scores） ;degree of sensory and motor block, the mode of delivery, the progress of labour and side effects were recorded and compared. Results The level of pain（VAS scores） in group A was higher than that of group C and group E,and there were no significant differences in group C and group E. But there were some side effects discovered in group E. There was no significant differences of the mode of delivery in the groups, Conclusion The method that acupoinrinjection combined with epidural analgesia by 0. 075 % ropivacaine is effective and has no side effects for labour.
出处
《中国基层医药》
CAS
2007年第9期1416-1417,共2页
Chinese Journal of Primary Medicine and Pharmacy
基金
广东省深圳市科技局研究项目(JH200507130990A)
关键词
分娩发作
穴位注射
酰胺类
麻醉
硬膜外
镇痛
产科
Labor onset
Acupiont-injection
Amides
Anesthesia, epidural
Analgesia, obstetrical
