低浓度罗哌卡因用于分娩镇痛的临床分析

Clinical analysis of delivery analgesia with low concentration of Ropivacaine

目的探讨低浓度罗哌卡因硬膜外分娩镇痛的效果及其对产妇和新生儿的影响。方法采用0.1%罗哌卡因硬膜外阻滞麻醉对72例产妇行分娩镇痛作为观察组,未使用分娩镇痛的76例产妇作为对照组,比较两组疼痛程度、产程时间、分娩方式、催产素使用情况、产后出血量、新生儿Apgar评分情况。结果观察组疼痛程度明显减轻,优于对照组(p<0.05)、两组产程时间、分娩方式、催产素使用情况、产后出血量、新生儿Apgar差异无显著意义(p>0.05)。结论低浓度罗哌卡因硬膜外阻滞麻醉用于分娩镇痛效果显著,对母婴无不良影响。

Objective To observe the curative effect of painless delivery with low concentration Ropivacaine and its influence on pregnant women and the newborns. Methods 72 pregnant women who had undergone epidural block anesthesia with 0.1% Ropivacaine were in Ropivacaine group, and the other 76 pregnant women without any anesthesia were in control group. The degree of pain, duration of delivery, delivery mode, use of oxytocin, postoperative hemorrhage and Apgar score of the newborns between the 2 groups were compared. Results Compared with control group, the pain of pregnant women in Ropivacaine group was significantly relieved （P〈0.05）. No statistical differences between the two groups in the duration of delivery, delivery mode, use of oxytocin, postoperative hemorrhage and Apgar score of the newborns were detected （P〉0.05）. Conclusion Low concentration of ropivacaine is safe for pregnant women and the newborns, and beneficial to the pregnant women in delivery analgesia.