罗哌卡因 芬太尼蛛网膜下腔-硬膜外联合阻滞麻醉用于分娩镇痛的临床研究  

Clinical study of labor pain relief by ropicavaine fentinyl for combined subarachnoid epidural anesthesia.

作　　者：于莎莎[1] 张震宇[1] 翟妍[1] 王淑贞[1] 王素美[1] 李艳芳[1] 桑翠琴[1] 王丽娜[1] 

机构地区：[1]首都医科大学附属北京朝阳医院,100050

出　　处：《中国实用妇科与产科杂志》2002年第6期373-374,共2页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的　研究分娩镇痛的效果及对产程、母婴的影响。方法　采用罗哌卡因、芬太尼蛛网膜下腔 硬膜外联合阻滞麻醉对 90例产妇行分娩镇痛 ,作为观察组 ;对未使用分娩镇痛药物进入产程的 92例产妇作为对照组 ,比较两组的产程时间、分娩方式、产后出血、胎儿窘迫、新生儿窒息情况。结果　两组第二产程时间比较有显著性差异 ,总产程时间比较无显著性差异。两组分娩方式、产后出血、胎儿窘迫、新生儿窒息发生率比较 ,无显著性差异。结论　罗哌卡因、芬太尼蛛网膜下腔 硬膜外联合阻滞麻醉用于分娩镇痛 ,效果可靠 ,对母婴无良影响 。Objective To investigate the pain relief effects and its influences on the labor course and both mothers and infants.Methods 90 primiparae were administered Ropivacaine Fentinyl for combined subarachnoid epidural space anesthesia(CSEA)during labor(study group),the other 92 cases were not performed any anesthesia(control group).The labor course,the mode of delivery and incidence of postpartum hemorrhage,fetal distress and neonatal asphyxia were observed in the two groups respectively.Results There was no significant difference on the total labor course time between the two groups,but the second stage of labor time was longer in the study group than the control group(P<0\^05).There was no significant difference in the incidence of postpartum hemorrhage,fetal distress and neonatal asphyxia between the two groups.Conclusion The analgesia is safe and effective,which has no influences on the mothers and infants.There is a prolongation for the second stage of labor time.

关 键 词：分娩镇痛 蛛网膜下腔-硬膜外联合阻滞 罗哌卡因 芬太尼 

分 类 号：R714.3[医药卫生—妇产科学]