罗哌卡因复合芬太尼硬膜外麻醉在无痛分娩中的应用.docVIP

精品论文 参考文献 罗哌卡因复合芬太尼硬膜外麻醉在无痛分娩中的应用 衡阳县妇幼保健院麻醉科 湖南衡阳 421200 【摘 要】目的 探讨罗哌卡因符合芬太尼硬膜外麻醉在无痛分娩中的应用效果。方法 收集2015 年2 月至2016 年2 月我院产科收治的产妇60 例，采用随机数字法分为两组，对照组（n=30）接受传统分娩，观察组（n=30）采用罗哌卡因复合芬太尼硬膜外麻醉方式进行无痛分娩，比较两组产妇分娩过程中疼痛程度、第一产程、第二产程、新生儿健康状况和分娩方式。结果 观察组产妇分娩中疼痛程度明显轻于对照组，Plt;0.05；观察组产妇第一产程时间为376.99plusmn;57.21 min，对照组为425.81plusmn;55.69 min，Plt;0.05；观察组产妇第二产程为53.21plusmn;8.04 min，对照组为63.39plusmn;8.73 min，Plt;0.05；观察组产妇新生儿apgar 评分为9.15plusmn;2.27 分，对照组为8.97plusmn;2.14 分，Pgt;0.05；观察组产妇剖宫产分娩率明显低于对照组，Plt;0.05。结论 罗帕卡因复合芬太尼硬膜外麻醉可有效改善产妇分娩过程中的疼痛程度，对于减少产妇的分娩时间和促进阴式分娩均具有积极作用，且对新生儿健康状况无明显影响，值得推广应用。 【关键词】罗哌卡因；芬太尼；硬膜外麻醉；无痛分娩 【Abstract 】 objective to explore the ROM pp paid in accordance with fentanyl epidural anesthesia in the epidural application effect.Methods collected in February 2015 to February 2015 of maternal 60 patients admitted in our hospital maternity，can be divided into two groups by random number method，the control group（n = 30）accept traditional childbirth，observation group（n = 30）using ROM pp because the compound fentanyl epidural anesthesia in painless childbirth，in the process of comparing two groups of puerpera childbirth pain degree，first，the second labor，labor neonatal health and way of delivery.Results observation group in the puerpera childbirth pain was significantly lighter than the control group，P lt; 0.05; Observation group maternal first time was 376.99 + / - 57.21 min，labor was 425.81 + / - 55.69 min，the control group（P lt; 0.05; Observation group second maternal labor was 53.21 + / - 8.04 min，was 63.39 + / - 8.73 min，the control group（P lt; 0.05; Observation group maternal newborn apgar score was 9.15 + / - 2.27 points，the control group was 8.97 + / - 2.14 points，P gt; 0.05; Of childbirth puerpera cesarean delivery observation group was obviously lower than the control group，P lt; 0.05）.Conclusion paranal paid compound fentanyl epidural anesthesia can effectively improve maternal pain degree，in the process of childbirth for reducing chil