不同浓度罗哌卡因应用于分娩镇痛的临床观察  

Clinical Observation of Different Concentrations of Ropivacaine for Labor Analgesia

作　　者：王振山 李艳丽 李晓娟 张金山[1] WANG Zhen-shan;LI Yan-li;LI Xiao-juan;ZHANG Jin-shan(Department of Anesthesiology,Tianjin First Hospital,Tianjin 300232,China)

机构地区：[1]天津市第一医院麻醉科,天津300232

出　　处：《医学信息》2019年第2期154-156,共3页Journal of Medical Information

摘　　要：目的观察不同浓度的罗哌卡因联合少量芬太尼用于分娩镇痛的临床效果。方法将120例拟行硬膜外分娩镇痛的初产妇作为研究对象,采用随机数字表法分为A、B、C、D 4个组,每组30例,硬膜外麻醉分别给予0.075%、0.1%、0.125%、0.15%盐酸罗哌卡因+1μg/ml芬太尼进行镇痛,比较各组产妇的镇痛有效率,第一、二产程时间、运动阻滞评分以及不良反应等指标。结果4组产妇分娩镇痛效果良好,A、B、C、D组产妇镇痛有效率分别为70.00%、83.33%、86.67%、90.00%,B、C、D组高于A组(P<0.05),D组有1例发生运动阻滞(Bromage评分为1分)。结论硬膜外分娩镇痛采用0.1%～0.15%罗哌卡因复合1μg/ml芬太尼能够为产妇提供安全可靠的分娩镇痛。Objective To observe the clinical effects of different concentrations of ropivacaine combined with a small amount of fentanyl for labor analgesia.Methods 120 primiparas who had undergone epidural labor analgesia were selected as subjects.They were divided into four groups:A,B,C and D by random number table.30 cases in each group and 0.075%in epidural anesthesia.0.1%,0.125%,0.15%ropivacaine hydrochloride+1μg/ml fentanyl for analgesia,compare the analgesic efficiency of the women in each group,the first and second labor time,exercise retardation score.Results The analgesic effect of labor in 4 groups was good.The effective rates of maternal analgesia in group A,B,C and D were 70.00%,83.33%,86.67%and 90.00%,respectively.Groups B,C and D were higher than group A(P<0.05),1 patient in group D had motor block(Bromage score 1 point).Conclusion Epidural labor analgesia with 0.1%~0.15%ropivacaine combined with 1μg/ml fentanyl can provide safe and reliable labor analgesia for women.

关 键 词：分娩镇痛 硬膜外 盐酸罗哌卡因 芬太尼 

分 类 号：R714.3[医药卫生—妇产科学] R614[医药卫生—临床医学]