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目的:对甲磺酸罗哌卡因联合芬太尼硬膜外麻醉在无痛分娩中的临床效果进行分析。方法:选取某院2013年5月到2014年6月进行分娩的110例产妇,并随机分成两组,试验组和对照组,对照组进行常规处理,并没有采用无痛分娩;试验组进行甲磺酸罗哌卡因联合芬太尼硬膜外麻醉,医务人员对两组产妇的生产时间、镇痛程度、分娩类型进行记录,并比较两组的新生儿Apgar分数。结果:比较两组产妇的镇痛前视觉模拟镇痛(VAS)分数,两组差异没有统计学意义(P>0.05),镇痛后,试验组不同阶段产妇的VSA分数都比对照组低,两者差异具有统计学意义(P<0.05)。结论:甲磺酸罗哌卡因联合芬太尼硬膜外麻醉手段具有明显的镇痛效果,能在临床上进行大量应用。
Objective: To analyze the clinical effect of epidural anesthesia with fentanyl and ropivacaine mesylate in painless childbirth. Methods: A total of 110 maternal women who gave birth between May 2013 and June 2014 were selected and divided into two groups at random. The experimental group, the control group and the control group were given routine treatment without painless delivery. The experimental group Ropivacaine sulfonate and fentanyl epidural anesthesia, medical staff of the two groups of maternal production time, analgesia, type of delivery were recorded and compared Apgar scores of neonates in both groups. Results: Compared with pre-analgesia visual analogue analgesia (VAS) scores of the two groups, there was no significant difference between the two groups (P> 0.05). After analgesia, the VSA scores of maternal women in different stages of the experimental group were lower than those of the control group, The difference between the two groups was statistically significant (P <0.05). Conclusion: Ropivacaine mesylate combined with fentanyl epidural anesthesia has obvious analgesic effect and can be widely used clinically.