罗哌卡因联合氯普鲁卡因硬膜外麻醉在全程分娩镇痛中的应用

发布时间：2018-01-05 05:34

本文关键词：罗哌卡因联合氯普鲁卡因硬膜外麻醉在全程分娩镇痛中的应用　出处：《浙江创伤外科》2016年01期 　论文类型：期刊论文

【摘要】：目的探究分析罗哌卡因联合氯普鲁卡因硬膜外麻醉在全程分娩镇痛中的应用效果。方法随机选取本院2013年7月至2015年7月接收的95例头位足月产妇为研究对象,将所选产妇分为观察组(n=48例)和对照组(n=47例),其中对照组产妇给予常规处理,不采取硬膜外措施;观察组产妇给予罗哌卡因联合氯普鲁卡因硬膜外麻醉,观察两组产妇分娩过程中的疼痛分级、各产程分娩时间及新生儿Apgar评分情况。结果观察组产妇的疼痛分级显著优于对照组(P0.05),观察组产妇的产程分娩时间短于对照组,两组对比差异显著(P0.05);两组新生儿的Apgar评分对比差异并无明显统计学意义(P0.05)。结论罗哌卡因联合氯普鲁卡因硬膜外麻醉在产妇分娩中能够起到较好的缓解作用,见效较快,药效维持的时间长,能够明显缩短产程时间,值得临床推广应用。
[Abstract]:Objective to explore the analysis of ropivacaine combined with chloroprocaine epidural anesthesia effect in the whole labor analgesia. Methods in our hospital from July 2013 to July 2015 received 95 cases of head parturient were randomly selected as the research object, the selected were divided into observation group (n=48 cases) and control group (n=47 cases), the control group of women the routine treatment, do not take epidural measures; the observation group were treated with ropivacaine combined with chloroprocaine epidural anesthesia, observe the pain grade of two groups in the process of childbirth, the labor time and neonatal Apgar score. Results the pain grading was significantly better than the observation group maternal control group (P0.05), labor time the observation group were shorter than control group, significant differences between two groups (P0.05); the difference between the two groups of neonatal Apgar score compared no significant statistical significance (P0.05). Conclusion ropivacaine combined with Epidural anesthesia with chlorprocaine can play a good relieving role in the delivery of the parturient. It has a faster effect and a longer maintenance time. It can significantly shorten the labor time, and is worthy of clinical application.

【作者单位】：温州医科大学;瑞安市妇幼保健院;温州医科大学附属第一医院;
【分类号】：R714.3
【正文快照】： 在现代产科麻醉临床发展中,越来越看重患者个体情况及不同需求,分娩镇痛逐渐被应用于现代产科麻醉中,全产程镇痛是分娩镇痛的一大发展趋势[1]。但是在我国传统观念中,仍然有不少人认为在产程中过早镇痛会延长产妇第一产程,并会影响正常分娩结局,显著提高剖宫产率。但全产程镇

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