地佐辛联合左布比卡因在无痛分娩中的应用

Effect of dezocine combined with levobupivacaine in painless childbirth

目的 :分析地佐辛联合左布比卡因在无痛分娩中的效果。方法 :选择2014年1月~2014年10月来我院进行分娩的产妇80例,随机分配到试验组和对照组,两组均为40例。试验组采用地佐辛+左布比卡因进行镇痛分娩,对照组采用芬太尼+左布比卡因进行镇痛分娩,比较2组的镇痛效果、不良反应及新生儿Apgar评分。结果 :2组的镇痛效果均较好,新生儿Apgar评分比较差异无统计学意义;对照度不良反应率较高,两组不良反应率差异有统计学意义。结论 :在孕妇分娩的过程中用地佐辛联合左布比卡因来进行镇痛,镇痛效果明显,不良反应率低,对新生儿的Apgar评分无影响,是一种安全有效的无痛分娩方法。

objective To analysis effect of dezocine combined with levobupivacaine in painless childbirth. Methods 80 cases maternal childbirth from 2014 January to 2014 October in our hospital for were randomly assigned to experimental group and control group, each groups had 40 cases. The test group used dezocine + levobupivacaine for labor analgesia, the control group using fentanyl + levobupivacaine for labor analgesia, analgesic effect, adverse reaction and Apgar score of neonates of 2groups were compared. Results the analgesic effect of the 2 groups were better, neonatal Apgar score had no significant differences between the control degree; adverse reaction rate is higher, the two groups had significant difference in the rate of adverse reactions. Conclusion the analgesic effect of inpregnant women during childbirth with dezocine combined with levobupivacaine is good, had low rate of adverse reactions, which no effect on the neonatal Apgar score, is a safe and effective method for painless labor.