椎管内分娩镇疼临床效果评价  

作　　者：吴玲[1] 毕海燕[1] 

机构地区：[1]云南省第二人民医院(昆明医学院第四附属医院)产科,650021

出　　处：《当代医学》2011年第8期55-56,共2页Contemporary Medicine

摘　　要：目的观察低浓度罗哌卡因复合芬太尼应用于分娩镇痛的效果及其安全性。方法回顾性分析于2008年12月～2009年12月住院并分娩的108例产妇的临床资料,观察罗哌卡因复合芬太尼的镇痛效果。结果镇痛组在镇痛后第15分钟时,VAS的评分平均为(3.69±1.64),在镇痛30分钟后,VAS评分平均分为(2.41±1.25),后者明显低于前者;与对照组相比,镇痛组的宫口扩张速度明显增加,为(3.29±0.58)cm/h,与对照组有统计学差异(P<0.05);镇痛组活跃期时间为(142.5±73.1)分钟,明显低于对照组(194.6±83.7)分钟,有显著性差异(P<0.05)。结论低浓度罗哌卡因复合芬太尼可以有效的起到分娩镇痛的作用,并可加快产程的进行。Objective To observe the analgesic effect and safety of low concentrations of ropivacaine combined with fentanyl. Methods A retrospective analysis was used to study the clinical data of 108 partal patients in our hospital from December 2008 to December 2009 and to observe the analgesic effect of ropivacaine combined with fentanyl. Results The analgesic group, 15 minutes after analgesia, the average VAS score was （3.69 ± 1.64）, 30 minutes after analgesia, the average VAS score score was （2.41 ± 1.25）, the latter was significantly lower than the former; Compared with the control group, the rate of cervical dilation of analgesia group significantly increased, which was （3.29 ± 0.58） cm / h, which was significantly different （P0.05） to the control group; the active period time of analgesia group was （142.5 ± 73.1） minutes, which was significantly lower than the control group （194.6 ± 83.7） minutes, there was significant difference （P0.05） between them. Conclusion Low concentrations of ropivacaine and fentanyl can play an effective role in the delivery odynolysis.also can speed up the production process.

关 键 词：罗哌卡因 芬太尼 分娩镇痛 

分 类 号：R714.3[医药卫生—妇产科学]