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目的探讨罗哌卡因+舒芬太尼行分娩镇痛对产程及母婴的影响。方法选择无产科及麻醉科禁忌症且自愿要求分娩镇痛的初产妇150例为观察组;同期同条件未行分娩镇痛的初产妇150例为对照组。观察镇痛效果、第一产程、第二产程、第三产程、分娩方式、产后出血、使用缩宫素及胎儿宫内窘迫、新生儿窒息情况,并进行统计学处理。结果镇痛有效率100%,镇痛组第一产程活跃期明显缩短(P<0.05),阴道分娩数明显增高、剖宫产率低于对照组(P<0.05),催产素使用高于对照组(P<0.05)。观察组和对照组在第二、三产程、阴道助产、胎儿宫内窘迫及新生儿窒息方面均无显著差异(P>0.05)。结论应用小剂量罗哌卡因+舒芬太尼行分娩镇痛效果确切,对母儿无不良影响,可满足产程中的镇痛需要,有利于产科质量的提高。
Objective To investigate the effects of labor analgesia with ropivacaine and sufentanil on labor process and maternal and infant. Methods 150 cases of primipara caused by obstetrics and anesthesia contraindications and voluntary labor analgesia were selected as the observation group. 150 cases of primipara of the same condition without labor analgesia were selected as the control group. Observe the analgesic effect, the first stage of labor, the second stage of labor, the third stage of labor, mode of delivery, postpartum hemorrhage, the use of oxytocin and fetal distress, neonatal asphyxia, and statistical analysis. Results The effective rate of analgesia was 100%. The activity of the first stage of labor in the analgesic group was significantly shorter (P <0.05), the number of vaginal delivery was significantly higher, the rate of cesarean section was lower than that of the control group (P <0.05) Group (P <0.05). There was no significant difference between the observation group and the control group in the second and third labor, vaginal delivery, fetal distress and neonatal asphyxia (P> 0.05). Conclusion Low dose of ropivacaine + sufentanil is effective in analgesia during labor and has no adverse effect on maternal and childbirth. It can meet the need of analgesia during labor and is conducive to the improvement of obstetric quality.