摘要
目的了解盐酸罗哌卡因在硬膜外无痛分娩中的应用效果及临床意义。方法随机抽取2010年8月～2011年9月282例经阴道分娩的初产妇,其中无痛分娩组141例,对照组141例,比较两组分娩镇痛、顺产率、剖宫产率、产后出血率、产钳助产率、胎儿窘迫发生率及新生儿Apgar评分的变化。结果在镇痛后10 min及第二产程,无痛分娩组VAS评分均明显低于对照组和无痛分娩组镇痛前VAS评分,差异均显著(P均<0.05)。无痛分娩组顺产率明显提高,剖宫产率显著下降,与对照组比较有显著性差异(P<0.05);阴道助产、胎儿窘迫、产后出血、缩宫素使用及新生儿评分两组比较,差异不显著(P>0.05)。结论无痛分娩能减轻疼痛,盐酸罗哌卡因在硬膜外分娩镇痛对母婴安全可靠,值得临床推广应用。
Objective To investigate the clinical effect of ropivacaine hydrochloride in epidural narcotic analgesia de- livery. Methods All of 282 primiparas through vaginal deliveries from August 2010 to September 2011 were randomly choosen. 141 primiparas were used epidural narcotic analgesia delivery （painless labor group）,and 141 primiparas were not use any analgesia method（control group）. The changes of labor analgesia, natural labour rate, cesarean section rate, postnatal hemorrhage rate, forceps birth rate,fetal distress rate and Apgar score between the two groups were com- pared. Results VAS siores of painless labor group in analgesia after 10 rain and second stage of labor were lower than those of control group（P 〈 0.05）. There were significant differences in natural labour rate and cesarean section rate be- tween the two groups （P 〈 0.05）. There was no significant difference in forceps birth rate, fetal distress rate,postnatal hemorrhage rate, oxytocin use and Apgar score between the two groups（P 〉 0.05）. Conclusion The painless labor can alleviate the pain.h is safe, reliable and worthy for clinical ride in epidural narcotic analgesia delivery. popularization and application that ropivacaine hydrochlo-
出处
《中国现代医生》
2013年第2期129-130,132,共3页
China Modern Doctor
关键词
盐酸罗哌卡因
硬膜外
镇痛
分娩
Ropivacaine hydrochloride
Epidural
Analgesic
Delivery
