Ropivacaine combined with continuous epidural infusion of fentanyl for labor analgesia.doc

 PAGE \* MERGEFORMAT 8 Ropivacaine combined with continuous epidural infusion of fentanyl for labor analgesia Ropivacaine is a new long-acting amide local anesthetic, with cardiac toxicity, separation of sensory and motor nerve block, epidural anesthesia and has been widely used for labor analgesia. I give hospital from 2007-1-10 0.1% ropivacaine combined with fentanyl, continuous infusion epidural analgesia line 100 cases of analgesic effect was observed, as well as maternal and fetal outcomes. 1 Materials and Methods General Information: Select 100 cases of ASA ~ stage, single cephalic voluntary maternal labor analgesia early enough, no serious obstetric complications, and no fetal abnormalities, the prenatal care for the natural vaginal birth, age 23 to 30 years old, choose another 100 cases of similar conditions, but do not give a natural birth maternal epidural anesthesia for the control group. Methods: Drug preparation: 0.1% ropivacaine + fentanyl (1mg / L). Analgesic Methods: 100 cases of maternal uterine cervix law and as large as 3.0 ~ 4.0cm, the epidural puncture, the election for the L2-3 space puncture point tube to the head after the success of 2-3cm, and fixed . injection of 1.6% lidocaine 3ml test dose as observed 5min, no subarachnoid block and local anesthetic poisoning symptoms such as after giving 10 ~ 15ml liquid preparation of a good as the first volume, chest plane control in the 10 below 20min followed by the first volume of B. Braun8714827 type injection pump, base injection rate of 6 ~ 8ml / h, the impact of volume of 2ml, lockout time 10 ~ 15min, the whole cervix full withdrawal. Observation of the project: observed maternal labor analgesia heart rate, blood pressure, blood oxygen saturation. The visual analogue scale (VAS [1]: pain (10 points), excellent (lt;3 points), general satisfaction (35 points), unsatisfactory (gt; 5 points). depth assessment of lower limb motor block, modified