低浓度甲磺酸罗哌卡因联合芬太尼在分娩镇痛应用.docVIP

低浓度甲磺酸罗哌卡因联合芬太尼在分娩镇痛应用【摘要】 目的探讨低浓度甲磺酸罗哌卡因联合芬太尼经自控镇痛泵技术进行分娩镇痛的有效性与安全性。 方法选在我院2009 年1 月至2010年1 月间主动要求行分娩镇痛、健康、单胎、足月临产初产妇50例为镇痛组,随机选择同期条件相当未实施分娩镇痛的孕妇50例作为对照组。镇痛组分娩前给予低浓度甲磺酸罗哌卡因加芬太尼,对照组不行无痛分娩,宫口开全后停止注药,采用视觉模拟疼痛评分(VAS),记录两组疼痛程度、产程时间、分娩方式、新生儿Apgar 评分情况。 结果镇痛组镇痛后VAS评分明显下降、第一产程明显缩短( P 0.05)。 结论低浓度甲磺酸罗哌卡因联合芬太尼经自控镇痛泵技术进行分娩镇痛,可获得满意的镇痛效果,是一种安全有效的方法,值得临床推广应用。 【关键词】 甲磺酸罗哌卡因;芬太尼;自控镇痛泵;分娩镇痛 Application of of low concentration ropivacaine mesylate combined with fentanyl in labour analgesia LUAN Chun?mei,SHEN Xiao?qin.Department of Anesthesiology,Taizhou People’s Hospital of Nantong University,Taizhou 225300,China 【Abstract】 ObjectiveTo observe the effect of low concentration ropivacaine mesylate combined with fentanyl for patient?controlled epidural analgesia on labour analgesia. MethodsFrom January in 2009 to January in 2010,50 patients of epidural analgesia in labor,health,single fetal and the term of the provisional maternal were enrolled into trial group.50 patients without drug analgesia after delivery were chosen into control group with only general treatment.Patients in trial group received low concentration ropivacaine mesylate combined with fentanyl with controlled epidural analgesia.Then visual analogue scales(VAS),the time of labor course,the pain of childbirth,mode of delivery and other indicators were observed and compared between two groups. ResultsThe VAS in trial group was significantly lower than that in control group( P 0.05). ConclusionThe effect of combined ropivacaine mesylate and fentanyl used for epidural analgesia in labour is satisfied,and it is worthy in clinical application. 【Key words】 Ropivacaine mesylate; Combined with fentanyl; Controlled epidural analgesia; Labour analgesia ? 作者单位:225300 南通大学附属泰州人民医院麻醉科 分娩疼痛是分娩过程中的正常生理现象,但是它对产妇能产生分娩的恐惧感,并对其身心健康造成重大影响。镇痛分娩是由麻醉医师从脊椎外层的硬膜外注射麻醉药,使产妇在头脑清醒的情况下,骨盆腔肌肉放松,产痛明显减少,轻松愉悦地度过分娩期。为此,我院采用低浓度甲磺酸罗哌卡因联合芬太尼经自控镇痛泵技术进行分娩镇痛,通过观察其对分娩及围产期母婴的影响,探讨其有效性与安全性。? 1 资料与方法? 1.1 临床资料 选自我院2009 年1 月至2010