潜伏期分娩镇痛可行性研究  

Clinical feasibility study on ambulatory labor analgesia used in latent phase of the first stage of labor

作　　者：吴燕云[1] 刘继云[1] 邬子林[1] 王淼[1] 佘守章[1] 张玉洁[1] 陆佩华[1] 顾正田[1] 康佳丽[1] 

机构地区：[1]广州市第一人民医院,510180

出　　处：《广州医药》2006年第6期43-45,共3页Guangzhou Medical Journal

摘　　要：目的评价可行走分娩镇痛在潜伏期应用的临床效果及对子宫收缩力和新生儿阿氏评分的影响。方法对确已临产无内科合并症初产妇共50例。随机分为二组。Ⅰ组:宫口开张1 cm左右;Ⅱ组:为正常对照组未采用分娩镇痛。观察镇痛起效时间,子宫收缩力的变化,总产程、产后出血量、分娩结局及新生儿阿氏评分。结果Ⅰ组与Ⅱ组相比总产程无差异。第一产程中Ⅰ组于Ⅱ组相比子宫收缩力显著降低,P<0.05,催产素使用率为100%。二组间产后出血、新生儿阿氏评分无显著差异。结论舒芬太尼合并低浓度的罗哌卡因应用于无痛分娩,有明显的分娩镇痛作用,不增加产后出血量,对新生儿的阿氏评分无影响。Objective To evaluate the clinical effect of ambulatory labor analgesia used in latent phase of the first stage of labor and effect on labor progress and Apgar score. Methods Fifty parturient nulliparae who had no complications were randomly divided into two groups ： Group Ⅰ （ whose Ambulatory labor analgesia was begun to use when the cervix was 1.0cm dilated ） , Group Ⅱ （ Control group who without use of ambulatory labor analygesia） . Analgesic effects were observed, changes of uterine contraction were recorded by fetal monitor. Meanwhile, total stage of labor, outcome of delivery and Apgar score were also recorded, Results Duration of tatal stage of labor had no significant differences between Group Ⅰ and Group Ⅱ During the first stage of labor, uterine contraction power in Group Ⅰ was significantly decreased that in Group Ⅱ. The usage incidence of oxytocin was 100% in Group Ⅰ . Postpartum hemorrhage and apgar score of newborn were no significant difference between two groups. Conclusion sufentanil combined with low concentration ropivacaine for labor analgesia in the latent phase of first labor can reach the good effect and it does not increase postpartum hemorrhage and also has no effect on the apgar score of newborm.

关 键 词：罗哌卡因 舒芬太尼 分娩镇痛 潜伏期 

分 类 号：R714.3[医药卫生—妇产科学]