罗哌卡因、芬太尼硬膜外阻滞分娩镇痛对母婴的影响

Effects on maternal and fetus with ropivacaine plus fentinyl for epidural analgesia during labour

目的:探讨罗哌卡因、芬太尼自控硬膜外麻醉分娩镇痛对产程、母婴的影响。方法:采用罗哌卡因、芬太尼自控硬膜外麻醉对60例产妇进行分娩镇痛作为观察组,未使用分娩镇痛药物进入产程的60例产妇作为对照组,比较两组产程时间、分娩方式、产后出血、胎儿宫内窘迫、新生儿窒息情况。结果:两组比较产程时间、分娩方式、产后出血、胎儿宫内窘迫、新生儿窒息情况均无显著性差异。结论:罗哌卡因、芬太尼病人自控硬膜外麻醉用于分娩镇痛结果可靠,对母婴无不良影响。

Objective:To in vestigate the effects on maternal and fetus with ropivacaine plus fentinyl for parturient-controlled epidural analgesia(PCEA)during labour.Methods:60cases of primiparae were administered ropivacaine with fentinyl for PCEA during labour(study group),the other60cases were not performed any anesthesia(control group).During labour duration,the mode of delivery and in-cidence of postparturm hemorrhage,fetal distrss and neonatal asphyxia,were observed in the two groups rspectively.Results:There were no significant differences in the incidence of postpartum hemorrhage,fetal distress,neonatal asphyxia and labour duration between the two groups respectively.Conclusions:The PCEA of ropivacaine with fentinyl which has no influences on the mother and infant.