潜伏期硬膜外分娩镇痛对母婴影响的临床研究  

Clinical study of epidural analgesia in delivery on mothers and newborns

作　　者：赵祉阳 荣艳霞[1] 王燕[2] 

机构地区：[1]北京航天总医院,100076 [2]北京大学公共卫生学院

出　　处：《中国妇幼保健》2014年第5期702-704,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨潜伏期硬膜外分娩镇痛对产程及母婴安全的影响。方法:符合入选标准愿接受分娩镇痛签订分娩镇痛协议书的100例初产妇进入研究组、不愿接受分娩镇痛的100例初产妇进入对照组。研究组利用0.1%罗哌卡因(新型的局部麻醉药)复合2μg/ml芬太尼(阿片类镇痛药)配成镇痛液,在宫口开2 cm时开始镇痛,先给12 ml试验量后接镇痛泵,宫口开10 cm停泵。对照组:按产科常规处理。结果:利用0.1%罗哌卡因复合2μg/ml芬太尼硬膜外分娩镇痛效果较好,但研究组使用缩宫素的比例高于对照组,差异有统计学意义(P<0.05)。分娩方式、剖宫产比例、产程时间、产后2 h出血量、新生儿1 min Apgar评分、各种不良反应等指标两组差异无统计学意义(P>0.05)。结论:潜伏期硬膜外分娩镇痛效果可靠、母婴安全。Objective： To explore the effects of epidural analgesia for maternal and neonatal safety in delivery. Methods： With signing an informed consent form, one hundred nulliparous women who agree to accept labor analgesia were assigned into the study group, another one hundred nulliparous women who didni agreed to accept labor analgesia were assigned into the control group. Women in the study group were given the solution using 0. 1% ropivacaine and 2 μg/ml fentany at the time of cervical dilation 2 cm, with a test dose 12 ml at the beginning, till cervical dilation 10 cm. Women in control group received the routine obstetric. Results： Labor epidural analgesia effectively relieved the pain. Women in study group had significant lower painful scores than those of control group, while the proportion of using oxytocin was higher in the study group. There were no significant differences between two groups in the proportion of instrumental delivery or cesarean section, the, Apgar scores at 1 min, the duration of labor time and the amount of bleeding, etc. Conclusion： Epidural block for the labor analgesia is safe and reliable.

关 键 词：产程潜伏期 硬膜外阻滞 分娩镇痛 母婴安全 

分 类 号：R714[医药卫生—妇产科学]