耐乐品联合舒芬太尼在无痛分娩中的临床分析.docVIP

精品论文 参考文献 耐乐品联合舒芬太尼在无痛分娩中的临床分析 广西桂林兴安县人民医院麻醉科 541300 摘要：目的：分析无痛分娩中耐乐品联合舒芬太尼的应用效果及体会。方法：回顾性分析240例产妇的临床资料，将其随机分为观察组与对照组，每组各120例，其中对照组采用无镇痛自然分娩，观察组则采用耐乐品联合舒芬太尼进行无痛分娩，比较两组患者的VAS评分、分娩方式、产后出血量及新生儿Apgar评分。结果：两组产妇在镇痛前VAS评分差异无统计学意义（Pgt;0.05），在镇痛后10min及第二产程，观察组VAS评分显著低于镇痛前（Plt;0.05）；且与对照组同个时间点比较，观察组VAS评分也显著低于对照组，差异具统计学意义（Plt;0.05）。观察组顺产比例显著高于对照组，差异具统计学意义（Plt;0.05）；观察组产后出血量及新生儿Apgar评分与对照组差异无统计学意义（Pgt;0.05）。结论：在无痛分娩中应用耐乐品联合舒芬太尼可有效降低产妇生产过程中的疼痛感，提高顺产比例，且不会影响产后出血量及新生儿Apgar评分，故具有较高的临床应用价值。 关键词：无痛分娩；耐乐品；舒芬太尼 Abstract： Objective：to understand and analysis of the application effect of ropivacaine combined with fentanyl in painless childbirth.Methods：a retrospective analysis of the clinical data of 240 cases of puerpera，were randomly divided into observation group and control group，each 120 cases in each，the control group was treated with natural childbirth analgesic，observation group with combined with ropivacaine epidural labor analgesia，compared two groups of patients with VAS score，mode of delivery，postpartum hemorrhage volume and neonatal Apgar score.Results：two groups of puerperas in front of the analgesic VAS scores between no statistical significance（P gt; 0.05），analgesia after 10 min and the second stage of labor in the observed group VAS score was significantly lower than that before analgesia（P lt; 0.05）；and with the control group at the same time points compared VAS score of the observation group was significantly lower than that of the control group were statistically significant（P lt; 0.05）.The observation group delivery ratio was significantly higher than that of the control group，and the difference was statistically significant（P lt; 0.05）；observation group of postpartum and neonatal Apgar bleeding score and the control group，the difference was not statistically significant（P gt; 0.05）.Conclusion：the application of ropivacaine combined with Finn in painless childbirth too Nicole effectively reduce pain during the production process of parturient，improve de