罗哌卡因复合山莨菪碱硬膜外分娩镇痛对母婴的影响

Influence of ropivacaine combined with anisodamine on mother and child in epidural analgesia for labor

目的 观察连续性硬膜外应用0．125％罗哌卡因和山莨菪碱分娩镇痛对第2产程、分娩方式以及新生儿Apgar评分（新生儿Apgar评分用以判断有无新生儿窒息及窒息的严重程度，是以出生后lmin时的心率、呼吸、肌张力、喉反射及皮肤颜色5项体征为依据，每项为0-2分，满分为10分）的影响。方法 选择条件相同足月妊娠单胎头位、无产科及全身合并症的初产妇，分为镇痛组和对照组，每组为110例，镇痛组采用硬膜外0．125％罗哌卡因和山莨菪碱行分娩镇痛。结果 镇痛效果优良率91．8％，对第2产程无影响，并减少器械助产率，新生儿Apgar评分两组比较差异无统计学意义（P〉0．05）。结论 此方法极大缓解产痛，不增加难产率和分娩并发症的发生，临床上切实可行。

Objective To study the influence of epidttral application of 0.125% ropivacaine combined with anisodemine on the second labor stage, the type of delivery, and neonates＇ Apgar score.Methods 220 primiparae were recruited whose obstetric conditions were an full -term, monocyesis, and head presentation, having no obstetrical or systematic complications. They were divided into analgesic group and control group, 110 each. Epidural control of delivery pain using ropivacaine combined with anisodemine was applied to analgesic group, while nothing was administered to control group. Results The analgesic effect was satisfactory （91.8%）, no side effect occurred in the second stage of labor. The rate of delivery with help of instrument was reduced in the analgesic group. There was no significant difference between two groups in neonates＇ Apgar score. Conclusion The method greatly aneviates labor pains, without increasing the rate of dystecia and complications of delivery. It is practicable clinicany.