Epidural anesthesia for labor analgesia clinical experience.docVIP

 PAGE \* MERGEFORMAT 5 Epidural anesthesia for labor analgesia clinical experience With the development of medical science, improve people’s living standard, requirements of pregnant women giving birth is also rising. In the delivery process, in addition to ensuring the safety of mother and child, but also the requirements of pain, reduce the pain during childbirth. I have carried out since 2004, a total of 480 cases of labor analgesia, reports are summarized below. 1 Materials and Methods General information to be produced 480 cases of full-term pregnancy, pregnant women, aged 21-40 years, ASAI-level, parity 1-2, were a single cephalic, voluntary labor analgesia. Analgesia: epidural anesthesia, L 2-3 intervertebral puncture point, after the success of conventional epidural catheter to the head-end 3-4cm. Cervix in pregnant women to 2-3cm, the to the epidural 1% lidocaine 3ml, observed 5min, no signs of spinal anesthesia after injection of 0.15% ropivacaine 10ml. analgesia followed by PCEA pump connected, pump liquid to 0.1% Kayin Jia ropivacaine with fentanyl or sufentanil 2ug/ml 0.4ug/ml, controlled analgesia pump flow rate of 6ml / h, PCA4ml stabilization time of 30min. when a full-time withdrawal cervix. Monitoring the entire process of childbirth with continuous monitoring of fetal heart monitor tracings contractions, intrauterine pressure, fetal heart rate changes, with continuous monitoring of multi-parameter monitor tracings of maternal blood pressure, pulse, respiration, SPO 2 and so on. Pregnant women throughout the nasal suction catheter oxygen, intravenous infusion of 0.9% saline open 500ml contractions in pregnant women, according to the situation of each intravenous infusion of oxytocin. 2 Results 480 cases of maternal epidural analgesia, narcotic analgesia is absolutely flat in the T10, is relatively flat in the T9. Analgesic effect: sharp pain into mild contraction pain 68 cases, 412 cases were successful pai