分娩镇痛的临床观察  

Clinical study on labor pain relief by patient controlled analgesia

作　　者：肖辉[1] 刘继云[1] 佘守章[1] 林美 杨美英[1] 

机构地区：[1]广东省广州市第一人民医院,510180

出　　处：《广东医学》2000年第5期357-358,共2页Guangdong Medical Journal

基　　金：广州医学院科研项目! (编号 :学院C992 5)

摘　　要：目的　探讨布比卡因硬膜外自控镇痛和罗哌卡因蛛网膜下腔 -硬膜外自控镇痛用于分娩的效果及对产程、母婴的影响。方法　 90例初产妇分为 3组 ,布比卡因硬膜外自控镇痛组 (A组 ,n =3 0 )、罗哌卡因蛛网膜下腔 -硬膜外自控镇痛组 (B组 ,n =3 0 )和对照组 (C组 ,n =3 0 ,未行分娩镇痛 ) ,观察各组镇痛效果、产程时间、分娩方式、血清皮质醇及新生儿Apgar评分情况。结果　A ,B组镇痛效果满意 ,以B组为佳 ;两组第一产程末血清皮质醇浓度明显低于C组 (P <0 0 1) ;镇痛组活跃期较C组缩短 (P <0 0 5 ) ;分娩方式及Apgar评分各组间无差异。结论　两种方法用于分娩镇痛效果满意 ,对产妇及新生儿无不利影响 ,罗哌卡因蛛网膜下腔Objective To study the effects of patient controlled epidural analgesia with bupivacaine and combined spinal-epidural analgesia with ropivacaine on relieving labor pain and the influences on the mothers and infants. Methods 90 pregnant women were assigned into three groups. Group A( n =30), patients received patient controlled epidural analgesia with bupivacaine, and group B( n =30), combined spinal-epidural analgesia with ropivacaine were used to labor pain relief. There were no analgesia in group C (control group, n =30). The degree of labor pain, course of labor, the manner of delivery, and concentration of serum cortisol were measured. Results Both A and B groups showed good effect on relief of labor pain, this action in group B was better than that in group A. The serum cortisol concentration in group A and group B was lower than that in control group at the end of first labor course. There were no different in delivery manner and Apgar's score. Conclusion Patient controlled epidural analgesia with bupivacaine and combined spinal-epidural analgesia with ropivacaine is safe and effective for labor pain relief, which has no influences on the mothers and the infants.

关 键 词：分娩 自控镇痛 蛛网膜下腔 硬膜外镇痛 

分 类 号：R714.3[医药卫生—妇产科学]