低浓度罗哌卡因联合芬太尼用于分娩镇痛的疗效观察

Observation of Efficacy on Low Concentration Ropivacaine Combined with Fentanyl for Labor Analgesia

目的观察低浓度罗哌卡因联合芬太尼用于分娩镇痛的疗效及其对母婴的影响。方法选择我院2008年1月～2010年12月收治的200例自然分娩的初产妇(观察Ⅰ、Ⅱ组),应用不同浓度罗哌卡因联合芬太尼硬膜外自控镇痛的麻醉方法镇痛,并与同期未采用任何镇痛方法的100例产妇比较,观察三组的镇痛效果、Bromage评分、产程时间、产后出血量、新生儿Apgar评分情况。结果 观察Ⅰ、Ⅱ组的镇痛效果较好。观察Ⅰ、Ⅱ组第一产程时间比对照组缩短,但观察Ⅱ组第二产程时间延长(P<0.05)。三组产妇产后出血量、新生儿Apgar评分及并发症比较差异无统计学意义(P>0.05)。结论低浓度罗哌卡因联合芬太尼硬膜外自控镇痛用于分娩镇痛的疗效较好且安全性较高,值得临床推广应用。

Objective To observate efficacy on low concentration Ropivacaine combined with fentanyl for Labor Analgesia. Methods 200 cases of spontaneous delivery in primiparae from January 2008 to December 20102 apply to different concentration of ropivacaine combined with fentanyl for epidural Patient-controlled Analgesia Anesthesia for pain,compare to not adopt any methods of analgesia of 100 cases over the same period.1 Observe analgesic effect of the three groups,Bromage score during the time of postpartum hemorrhage volume and neonatal Apgar score. Results Ⅰ , Ⅱ groups＇ analgesic effect were better, Ⅰ , Ⅱ group of first labor hours reduced than the control group,but the second labor hours prolonged,postpartum hemorrhage,complications of neonatal Apgar scores and Comparison of differences had no significant difference. Conclusion Low Concentration Ropivacaine combined with fentanyl for epidural patient-controlled epidural analgesia for labor analgesia have better efficacy and safety,it is of high worthy and clinical application.