罗哌卡因用于分娩镇痛对产程和母婴的影响  

Effects of epidural ropivacaine labor analgesia on duration of labor and maternal-fetal

作　　者：贾亚楠[1] 白华[1] 李明静[1] 李帆[1] 孟凡杰[1] 

机构地区：[1]中国人民解放军第281医院妇产科,河北秦皇岛066100

出　　处：《中国医学前沿杂志（电子版）》2014年第4期39-41,共3页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的探讨罗哌卡因用于分娩镇痛时对产程和母婴的影响。方法采用回顾性研究的方法,将本院198例产妇分为镇痛组和对照组,观察两组产妇产程、产后2小时出血量及两组新生儿的Apgar评分情况。结果较对照组而言,镇痛组第一产程有所缩短(t=2.343,P<0.05),第二产程有所延长(t=2.391,P<0.05)。两组在产后2小时出血量及两组新生儿的Apgar评分情况上差异无显著性(t=2.343,P>0.05)。结论罗哌卡因用于产妇的镇痛分娩是安全有效的,但实际使用时仍需要结合产妇实际情况,进行合理用药。Objective To study the effects of epidural ropivacaine labor analgesia on duration of labor and maternal-fetal. Methods 198 maternals from one of third-grade class-A hospital were divided into analgesia group and the control group to observe two groups of maternal labor, postpartum 2 hours blood loss and two groups of neonatal Apgar score by using retrospective study method. Results Compare matched control but speech, the town was painful the set produce a distance to have to shorten in the ifrst (t=2.343, P<0.05) and produce in the second distance up had extension (t = 2.391, P < 0.05). Show differences on nonentity of two sets of the circumstances of Apgar grade points that bleed quantity and two sets of new borns in the postnatal period 2 hours. Conclusion The ropivacaine is a safety because of useding for the pregnant woman's town pain childbearing effective of, but still need to combine a pregnant woman actual circumstance while physically using, carry on reasonable to use a medicine.

关 键 词：酰胺类 分娩 镇痛 产程 母婴 

分 类 号：R714.3[医药卫生—妇产科学]