罗哌卡因联合芬太尼连续硬膜外阻滞在无痛分娩中的临床分析.docVIP

精品论文 参考文献 罗哌卡因联合芬太尼连续硬膜外阻滞在无痛分娩中的临床分析 广东省东莞市寮步医院 妇产科 523400 【摘 要】目的：分析和研究罗哌卡因联合芬太尼连续硬膜外阻滞在无痛分娩中的临床效果。方法：选取2013年6月—2015年8月分娩产妇106例，将其按随机数字表法分为无痛组与常规组，每组各有产妇50例。常规组产妇进行常规分娩，未给予镇痛剂；无痛组产妇给予罗哌卡因联合芬太尼连续硬膜外阻滞无痛分娩，将两组产妇剖宫产率、各个产程时间、新生儿Apgar评分进行比较。结果：无痛组剖宫产率明显低于常规组，差异具备统计学意义，经X2检验P＜0.05。无痛组第一、第二产程时间明显短于常规组，新生儿Apgar评分明显高于常规组，差异具备统计学意义，经t检验P＜0.05。结论：罗哌卡因联合芬太尼连续硬膜外阻滞在无痛分娩中的临床效果确切，可有效缩短产程时间，降低剖宫产率，改善新生儿预后，减少新生儿窒息，值得推广。 【关键词】罗哌卡因；芬太尼；连续硬膜外阻滞；无痛分娩；临床效果 Clinical analysis of ropivacaine combined with fentanyl continuous epidural anesthesia in painless childbirth Zhan Binghuang Obstetrics and Gynecology，Liaobu hospital，Dongguan City，Guangdong Province，523400 [Abstract]Objective：analysis and study of ropivacaine combined with fentanyl for epidural anesthesia in painless childbirth in clinical effect. Methods：106 cases of pregnant women in June 2013，August 2015，were divided into painless group and conventional group according to the random number table method，50 cases in each group.Maternal conventional group were normal childbirth，not given analgesics；painless group of women treated with ropivacaine combined with fentanyl continuous epidural anesthesia in painless childbirth，two groups of cesarean section rate，every production process and the neonatal Apgar score were compared. Results：the cesarean section rate in the painless group was significantly lower than that in the conventional group，and the difference was statistically significant，and the P test was less than 0.05.Painless group first，the second stage of labor time was significantly shorter than that of the routine group，neonatal Apgar score was significantly higher than that of the conventional group，the difference has statistical significance，t test，P lt; 0.05. Conclusion：the clinical effects of ropivacaine combined with fentanyl for epidural anesthesia in painless childbirth is effective，it can effectively reduce the labor time，reduce cesarean section rate，improve the prognosi