罗哌卡因芬太尼联合间苯三酚在分娩镇痛中的应用

Ropivacaine and fentanyl combined applcation phloroglucinolin chldbith analgesia

目的就罗哌卡因芬太尼联合间苯三酚在分娩镇痛中的应用进行探讨。方法选择2011年12月—2012年12月我院收治的400例进行分娩的产妇,选取自愿采取分娩镇痛的产妇202例为研究组,另外,再选取不采取分娩镇痛的产妇198例为对照组,对照组产妇不给予任何镇痛措施,实施自然阴道分娩。而研究组产妇采用罗哌卡因芬太尼联合间苯三酚镇痛。结果研究组中剖宫产24例(11.88%),助产0例,自然分娩178例(88.12%);而对照组中剖宫产65例(32.83%),助产3例(1.51%),自然分娩130例(65.66%),二者具有较为明显的差异,具有统计学意义(P<0.05)。研究组患者的产后出血量明显要少于对照组,第一产程要明显低于对照组,具有较为明显的差异,具有统计学意义(P<0.05)。结论罗哌卡因芬太尼联合间苯三酚在分娩镇痛中的应用,可缩短产程,提高自然分娩率,对胎儿无不良影响,值得在临床上广泛应用。

Objective To ropivacaine fentanyl phloroglucinol in childbirth analgesia were discussed. Methods December 2011 to December 2012 in our hospital 400 cases for birth mothers, select voluntarily take 202 cases of maternal analgesia as the study group, in addition, do not take then select 198 cases of maternal analgesia for the control group, the control group mothers do not give any analgesic measures to implement the natural vaginal delivery. The study group mothers using ropivacaine fentanyl phloroglucinol analgesia. Results 24 cases of cesarean section group （11.88%）, midwifery 0 cases, 178 cases of natural childbirth （88.12%）;while the control group, 65 cases of cesarean section （32.83%）, midwifery 3 cases （1.51%）, natural childbirth 130 cases （65.66%）, both with the more obvious difference was statistically significant （P〈0.05）. Study group of patients with postpartum hem-orrhage significantly more than the control group, the first stage of labor was significantly lower than the control group, with the more obvious difference was statistically significant （P〈0.05）. Conclusion Ropivacaine Fentanyl phloroglucinol in childbirth anal-gesia, can shorten the production process and improve the natural birth rate, no adverse effects on the fetus, it is widely used in clinical practice.