无痛分娩技术在产科临床的应用分析

Painless childbirth technology in the clinical application of obstetric

目的:观察罗哌卡因联合芬太尼硬膜外阻滞镇痛对分娩的影响。方法:选择50例单胎头位足月临产孕妇为观察组,给予低浓度罗哌卡因联合芬太尼硬膜外阻滞镇痛,对照组为同期未采用镇痛药物的单胎头位足月临产孕妇50例进行对比,比较两组的镇痛效果、产程进展、分娩方式、新生儿窒息、产后出血等情况。结果:观察组的镇痛有效率达100%,观察组的产程(7.25±3.50)h与对照组(9.60±4.15)h对比,两组差异有非常显著性意义(P<0.01);实验组剖腹产4例,占比例8%,对照组剖腹产15例,占比例30%(P<0.05=,差异有非常显著性意义(P<0.01);新生儿窒息,产后出血差异无显著性意义(P>0.05)。结论:低浓度罗哌卡因联合芬太尼硬膜外阻滞镇痛,安全有效,可缩短产程,降低剖宫产率,对母婴无不良影响。

Objective：To observe the ropivacaine combined with fentanyl epidural analgesia on the impact of childbirth.Methods：50patients with single cephalic term observation group of pregnant women in labor,given the low concentration of ropivacaine combined with fentanyl epidural analgesia in the control group did not use pain medication for the same period,single cephalic 50cases of pregnant women in labor at term compared the analgesic effect of the two groups,progress of labor,mode of delivery,neonatal asphyxia,postpartum hemorrhage and so on.Results：The study group was 100% effective analgesic,the production process the observation group （7.25±3.50） h and the control group （9.60±4.15） h compared between the two groups have very significant （P〈0.01）;cesarean yields were 8.0% and 30.0% difference was statistically significant （P〈0.01）;neonatal asphyxia and postpartum hemorrhage was no significant difference （P〉0.05）.Conclusion：Low concentrations of ropivacaine combined with fentanyl epidural analgesia,safe and effective,can shorten labor and reduce the cesarean section rate and no adverse effects on mother and infant.