罗哌卡因复合芬太尼用于无痛分娩的临床效果分析

发布时间：2018-06-19 08:24

本文选题：无痛 + 分娩　；参考：《临床医药文献电子杂志》2016年37期

【摘要】：目的分析罗哌卡因复合芬太尼用于无痛分娩的临床效果。方法选取我院2015年1月~2016年1月分娩的产妇157例作为研究对象,分为研究组(79例)与对照组(78例)。对照组产妇不采取任何镇痛措施,全产程均给予常规检测血氧饱和度、脉搏、血压及吸氧等处理;研究组加用0.5%芬太尼+0.2%罗哌卡因混合液镇痛。比较两组剖宫产例数、产程、情绪状态、产后尿潴留发生例数。结果研究组与对照组剖宫产例数分别为13(16.5%)、21(26.9%),差异有统计学意义(P0.05);研究组第一产程短于对照组,差异有统计学意义(P0.05);对照组产妇情绪波动较大,显得急躁、焦虑、紧张、疲劳,且脉搏略增快,呼吸急促;研究组患者比较安静放松;研究组与对照组产妇产后发生尿潴留例数分别为7例、8例,差异无统计学意义(P0.05)。结论罗哌卡因与芬太尼联合用于分娩,可缓解产妇疼痛,缩短产程,缓解焦虑、紧张情绪,促进分娩顺利进行,降低剖宫产发生率,值得临床推广借鉴。
[Abstract]:Objective to analyze the clinical effect of ropivacaine combined with fentanyl in painless delivery. Methods 157 cases of parturient in our hospital from January 2015 to January 2016 were divided into study group (79 cases) and control group (78 cases). The control group did not take any analgesic measures, the whole labor process was treated with routine examination of oxygen saturation, pulse, blood pressure and oxygen inhalation, and the study group was treated with 0.5% fentanyl 0.2% ropivacaine mixed solution for analgesia. The number of cesarean section cases, labor process, emotional state, postpartum urinary retention were compared between the two groups. Results the number of cesarean section cases in the study group and the control group were 1316.5 / 26.9 respectively, the difference was statistically significant (P 0.05); the first stage of labor in the study group was shorter than that in the control group (P 0.05), and the difference was statistically significant (P 0.05). The patients in the study group were quiet and relaxed. The cases of urinary retention in the study group and the control group were 7 cases or 8 cases, respectively. There was no significant difference between the two groups (P 0.05). Conclusion the combination of ropivacaine and fentanyl can relieve the pain of parturient, shorten the labor process, relieve anxiety and tension, promote the smooth progress of labor and reduce the incidence of cesarean section.
【作者单位】：灵寿县中西医结合医院;
【分类号】：R714.3

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