目的:探讨采用罗哌卡因配伍小剂量舒芬太尼用于腰-硬联合阻滞分娩镇痛对产妇和新生儿的影响。方法:观察镇痛组与对照组产妇的镇痛效果、产程时间、缩宫素使用情况、分娩方式、产后出血量以及新生儿情况等。结果:两组缩宫素使用率、产后出血、新生儿窒息差异无统计学意义,但镇痛组活跃期较对照组缩短,疼痛明显减轻,差异有统计学意义(P<0.05),且不良反应发生率低。结论:罗哌卡因配伍小剂量芬太尼用于腰-硬联合阻滞分娩镇痛安全有效,能加速活跃期,对母婴均无不良影响。 OBJECTIVE: To investigate the effect of low-dose sufentanil combined with ropivacaine on maternal and newborn infantile analgesia in combination with block-resistance of waist-hardness. Methods: Analgesia group and control group analgesic effect, labor duration, oxytocin use, mode of delivery, postpartum hemorrhage and neonatal situation. Results: There was no significant difference in oxytocin usage, postpartum hemorrhage and neonatal asphyxia between the two groups. However, the active phase of the analgesic group was shorter than that of the control group, and the pain was relieved. The difference was statistically significant (P <0.05) The incidence of the reaction is low. Conclusion: The combination of ropivacaine with low dose of fentanyl for waist-hard combined block labor analgesia is safe and effective, accelerates the active period and has no adverse effect on mother and infant.