硬膜外200例无痛分娩产程进展观察

目的用硬膜外麻醉行无痛分娩,观察第一产程所需平均时间、缩宫素使用率、分娩成功率同时和自然分娩进行比较。方法随机抽出200例行无痛分娩病例为A组,采用L2-3穿刺,向头侧置管4.5cm,0.15%罗哌卡因,每毫升含芬太尼1ug配成镇痛泵(PCA),按6ml/h泵入;另200例为自然分娩未使用任何镇痛措施为B组。结果 A组平均宫口开全时间短,剖宫产率低,宫缩被抑制比例较高需缩宫素加强宫缩。结论硬膜外无痛分娩效果确切,值得推广。

Objective To observed average time required for the first stage of labor,oxytocin usage,delivery success rate,simultaneously used the three indicators to compare epidural anesthesia for painless labour and natural childbirth. Methods Random sample of 200 cases of painless labour for the A groud, Using the L2--3 needle,to the head tube 4.5cm,0.15% ropivacaine,each mL containing fentanyl（lug）dubbod analgesia （PCA）,by 6mL / h pump;The other 200 cases of natural childbirth without any pain measure for the B group.Results A group of average time short,cesarean section rate,contractions are inhibited.Conclusion The exact effect of epidural anesthesia for painless labour delivery,worth for promoting.