甲磺酸罗哌卡因复合芬太尼硬膜外隙间断注药用于分娩镇痛的效果观察  

The Effect Observation of Mesylate Ropivacaine and Fentanyl Intermittent Injection Epidural Space for Labor Analgesia

作　　者：王治[1] 

机构地区：[1]山西省人民医院麻醉科,太原030012

出　　处：《中国医药导刊》2012年第10期1795-1796,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:研究甲磺酸罗哌卡因复合芬太尼硬膜外隙间断注药对于分娩镇痛的效果。方法:选取100例孕产妇,随机平均分为A、B两组,每组50例,两组孕产妇,分娩时均在L3-4椎间隙进行穿刺,实施腰-硬联合的分娩镇痛。先进行硬膜外穿刺,成功后通过针内针对蛛网膜下腔进行穿刺。结果:对于产妇的身高、年龄、体重等因素,无统计学意义。两组的蛛网膜下腔镇痛起效以及维持时间,无明显差异。两组的下肢运动神经阻滞情况,无明显差异,在护理下均可下床行走。结论:PCEA麻醉时采用了0.1%的甲磺酸罗哌卡因与0.5μg/ml的舒芬太尼联合使用,分离麻醉效果满意,可以达到可行走式分娩的条件。Objective：To Study the effect of mesylate ropivacaine and fentanyl intermittent injection epidural space for labor analgesia.Methods：Selected 100 cases of pregnant women,were randomly divided into two groups（A,B） average,50 cases in each group,the two groups of pregnant women,childbirth in the L3-4 disc space puncture implementation waist-epidural labor analgesia.First epidural puncture for subarachnoid puncture after successfully through the needle.Results：Maternal height,age,weight and other factors,not statistically significant.Groups subarachnoid onset of analgesia,and maintenance time,no significant difference.Lower limb motor nerve block groups,no significant difference in nursing can get out of bed to walk.Conclusion：The joint use of the PCEA anesthesia using sufentanil mesylate of 0.1% ropivacaine with 0.5μg/ml separation satisfactory anesthesia,can reach conditions may Walking childbirth.

关 键 词：甲磺酸罗哌卡因 芬太尼 硬膜外隙间断注药 分娩镇痛 

分 类 号：R614[医药卫生—麻醉学]