自控持续镇痛泵用于分娩镇痛的临床分析  

作　　者：张琴 

机构地区：[1]湖北省黄冈市黄州区妇幼保健院,湖北黄冈436100

出　　处：《医学信息（中旬刊）》2011年第6期2565-2566,共2页Medical Information Operations Sciences Fascicule

摘　　要：目的:观察低浓度罗哌卡因配伍芬太尼硬膜外麻醉用于分娩镇痛的效果。方法:研究组采用低浓度罗哌卡因配伍芬太尼硬膜外麻醉用于分娩镇痛的产妇80例,同期未采用分娩镇痛的产妇80例为对照组。观察镇痛效果,比较两组的产程时间、分娩方式、新生儿Apgar评分及产后出血量。结果:研究组镇痛效果好,与对照组比较活跃期明显缩短(P<0.05),两组第二产程、第三产程时间、新生儿评分、产后出血无显著差异性。结论:硬膜外麻醉用于分娩镇痛安全有效,对新生儿的Apgar评分无影响。Objective：To observe the analgesia effect of pefidural anesthesia with low concentration ropivacaine and fentanyl for labor. Methods：Study group：80 cases of maternal used low concentration of ropivacaine epidural anesthesia combined with fentanyl for labor analgesia. Control group ：80 cases of maternal did not use labor analgesia during the same period. Analgesic effect were observed. The labor duration and delivery mode and neonatal Apgar score and postpartum hemorrhage were compared between the two groups. Results：Study group showed obvious pain - relieving effect, in which active phase of labor was significantly shorter compared with the control group （P 〈 0.05 ）. Two second stage of labor time and third stage of labor time and neonatal Apgar score and postpartum hemorrhage were no significant difference. Conclusion：Epidural anesthesia is safe and effective for painless labor analgesia. At the same time neonatal Apgar score are not affected.

关 键 词：硬膜外麻醉 无痛分娩 活跃期 

分 类 号：R714.3[医药卫生—妇产科学]