盐酸罗哌卡因连续性硬膜外阻滞镇痛分娩151例分析.docVIP

盐酸罗哌卡因连续性硬膜外阻滞镇痛分娩151例分析【摘要】 目的 观察盐酸罗哌卡因连续硬膜外阻滞麻醉在阴道分娩镇痛中的应用及其对母婴的影响。方法 选择2011年3月～11月使用盐酸罗哌卡因连续硬膜外阻滞麻醉进行镇痛分娩的产妇151例。选择其中初产妇137例作为镇痛组。随机选择同期、同条件、未采取镇痛措施者100例作为对照组，观察两组产程、产后出血、催产素使用情况及新生儿阿氏评分。结果 连续硬膜外阻滞麻醉镇痛有效率100%，两组第二产程均在正常范围内，但镇痛组第二产程较对照组明显延长（?P?0.05）。结论 盐酸罗哌卡因连续硬膜外阻滞麻醉应用于镇痛分娩，镇痛效果确切、安全，对母婴无不良影响。? 【关键词】 盐酸罗哌卡因； 硬膜外阻滞； 镇痛分娩? Ropivacaine hydrochloride in continuous epidural block for labor analgesia: analysis of 151 cases ?LUO Fa-fen. Ping?an hospital of traditional Chinese and western medicine, Kunming 650032, China?? 【Abstract】 Objective To study the application of ropivacaine hydrochloride in continuous epidural block for labor analgesia and the influences on mothers and infants.Methods 151 cases of puerperas with ropivacaine hydrochloride in continuous epidural block anesthesia for labor analgesia from March 2011 to November 2011 were analyzed. 137 primiparas were selected as analgesic group. 100 cases who were not performed any labor analgesia during the period were selected as control group. The labor course, postpartum hemorrhage, the using of oxytocin and Apgar score of newborns was observed in the two groups.Results There were significant differences in the effects of pain relief, the second stage of labor and the using of oxytocin between the two groups.Conclusion Ropivacaine hydrochloride in continuous epidural block for labor analgesia is safe and effective, it has no side-effects for the mothers and infants.? 【Key words】 Ropivacaine hydrochloride; Epidural block; Labor analgesia? doi：10.3969/j.issn.1674-4985.2012.06.024 ?? 分娩疼痛是一种正常的生理现象，但持续的疼痛给广大产妇带来了巨大的身心痛苦。随着围产医学的发展，产科质量不断提高，人们生活水平明显改善，减轻和消除分娩疼痛已成为产妇及产科工作者们日益关注的问题??［1］?。笔者对151例产妇进行连续硬膜外阻滞镇痛分娩，现报告如下。? 1 资料与方法 1.1 一般资料 对2011年3月～11月孕足月、头位、具有阴道试产指征、自愿要求使用连续硬膜外阻滞麻醉进行镇痛分娩的产妇151例进行分析。同时，选择其中初产妇137例作为镇痛组。随机选择同期、同条件、未采取无痛措施者100例作为对照组。硬膜外阻滞无痛分娩的禁忌证：凝血功能异常、血容量减少致血液动力学不稳定及穿刺部位感染。两组一般情况比较，差异无统计学意义（?P?0.05），具有可比性。见表1。 表1 两组产妇一般情况比较? 组别例数年龄（岁）孕次（次）孕周（周）新生儿体重（g） 镇痛组13725.3±2.31.5±1.