硬膜腔阻滞分娩镇痛201例临床分析

Clinical analysis of epidural anesthesia in 201 deliveries

目的探讨罗哌卡因硬膜腔阻滞分娩镇痛对分娩结局的影响。方法采用罗哌卡因对201例产妇实施硬膜外麻醉分娩镇痛,与同期未接受硬膜外麻醉的产妇242例对照,比较两组产妇的疼痛程度、分娩方式、产程时间、新生儿情况等。结果两组的剖宫产率、器械助产率、新生儿情况均无明显差异,第一产程活跃期观察组明显短于对照组(P<0.05)。结论罗哌卡因硬膜腔阻滞分娩镇痛是安全可靠的分娩镇痛方法。

Objective To investigate the influence of ropivacaine in epidural anesthesia on delivery income. Methods Ropivacaine was applied to 201 delivery women in epidural anesthesia while other 242 delivery women as control team were not in epidural anesthesia. Pain level, delivery methods, delivery time and neonatal condition were studied. Results There were no significant differences in cesarean rate, equipment delivery rate and neonatal condition. The time of active phase in the first stage of labor in test group is apparently shorter than that in control group. Conclusions The use of ropivacaine in epidural anesthesia is a safe and reliable method in curing delivery analgia.