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目的:探讨甲磺酸罗哌卡因与布比卡因在产妇无痛分娩腰-硬联合自控镇痛中的应用效果。方法:选取在我院自愿要求分娩镇痛的初产妇120例进行腰-硬联合自控镇痛,随机分成观察组和对照组两组,每组60例。观察组产妇采用甲磺酸罗哌卡因,对照组产妇采用布比卡因。记录两组神经阻滞情况、镇痛强度(VAS)评分和不良反应的发生情况。结果:观察组运动阻滞起效时间明显晚于对照组产妇(P<0.05)。镇痛后各时间段观察组VAS评分均低于对照组(P<0.05)。结论:甲磺酸罗哌卡因在分娩行腰-硬联合自控镇痛中应用效果满意,不良反应少。
Objective: To investigate the effect of ropivacaine mesylate and bupivacaine in controlled analgesia of lumbar-epidural anesthesia in painless labor. Methods: 120 cases of primipara caused by labor analgesia in our hospital were randomly divided into observation group and control group, with 60 cases in each group. The observation group maternal use of ropivacaine mesylate, the control group of mothers using bupivacaine. Record the two groups of nerve block, analgesic intensity (VAS) score and the occurrence of adverse reactions. Results: The onset time of motion block in observation group was significantly later than that in control group (P <0.05). VAS score in observation group at each time after analgesia was lower than that in control group (P <0.05). Conclusion: Ropivacaine mesylate is satisfactory in delivery-controlled waist-hard combined analgesia with few adverse reactions.