Ropivacaine combined with sufentanil for labor epidural analgesia_0.doc

 PAGE \* MERGEFORMAT 10 Ropivacaine combined with sufentanil for labor epidural analgesia [Abstract] Objective To evaluate the ropivacaine combined with sufentanil for epidural analgesia for labor pain relief could be walking. Methods 100 cases of early maternal ASAI ~ grade were randomly divided into two groups, the ropivacaine group (R group n = 50: 0.08% of local anesthetic ropivacaine containing sufentanil 0.4 ug ml-1, the bupivacaine group (B n = 50: 0.0625% bupivacaine local anesthetic within the with fentanyl 1.6ug ml-1. are in the cervix to 3cm, the disc space at L2-3 epidural catheter needle up 4cm. Both groups were given the first measurement of 10 ml +5 ml (R The first group concentration of 0.1% ropivacaine containing sufentanil 0.5 ug ml-1, B group of the first concentration of 0.075% bupivacaine containing fentanyl 2 ug ml-1, record plane of anesthesia, followed by 30 minutes of electronic micro controlled analgesia (PCA with 3 ml h-1 speed pump into the epidural space. When patients perceived pain is significant, the amount of additional medication to PCA5 ml. maternal use VPS analgesic effect of self-assessment method, determined by modified Bromage motor blockade. midwives observe and record the progress of labor analgesia, side effects, mode of delivery, postpartum hemorrhage, neonatal Apgar score. Results plane of anesthesia groups no significant difference (Pgt; 0.05, the total drug R group 26.5 + -11.34 ml, B group 40.9 + -15.64 ml, a significant difference between two groups (P lt;0.01. analgesia in maternal self-assessment, R group who achieve satisfactory scores accounted for 98%, B group accounted for 80% (P lt;0.01. the determination of motor block, R group 0 (no lower extremity motor block accounted for 98%, B group accounted for 60% (P lt;0.01. newborns Apgar score 10 points R group accounted 98%, B group accounted for 84% (0.01 lt;P lt;0.05. analgesia increase the amount of oxytocin R group were accounted for 4%, B group ac