罗哌卡因硬腰联合麻醉法对自然分娩产妇进行镇痛的效果观察

发布时间：2018-04-28 02:51

本文选题：自然分娩 + 镇痛　；参考：《世界最新医学信息文摘》2016年99期

【摘要】：目的分析研讨罗哌卡因硬腰联合麻醉法对自然分娩产妇进行镇痛的效果。方法此研究为回顾性研究,采用随机抽签法,从我院2015年4月-2016年2月期间自然分娩产妇中,抽取88例纳入到讨论中,按麻醉方式分两组,44例对照组(无镇痛药物)和44例研究组(罗哌卡因联合硬腰麻醉方式),完成分娩后,把两组产妇状况纳入对比分析。结果对比其潜伏期VAS评分,组间数据无统计学意义(P0.05);对比其活跃期、第二产程、第三产程时VAS评分状况,研究组比对照组低,组间数据有统计学意义(P0.05)。对比两组产妇产程时间,第一产程时间组间数据无统计学意义(P0.05);但第二产程、第三产程,研究组比对照组时间短,组间数据有统计学意义(P0.05)。对比两组不良反应总发生率,研究组6.82%比对照组9.09%,组间差异无统计学意义(P0.05)。结论产妇自然分娩麻醉方式可采用罗哌卡因联合硬腰麻醉法,安全性高,镇痛效果突出,其应用性较高。
[Abstract]:Objective to study the analgesic effect of ropivacaine combined with epidural anesthesia on parturient. Methods A retrospective study was conducted in which 88 pregnant women with natural delivery were selected from our hospital from April 2015 to February 2016 by random drawing of lots. According to the anaesthesia method, 44 cases of control group (without analgesic drugs) and 44 cases of study group (ropivacaine combined with epidural anesthesia) were divided into two groups. Results compared with the latency VAS score, there was no significant difference in the data between groups (P 0.05), and the VAS scores in the active period, the second stage of labor and the third stage of labor were lower in the study group than in the control group, and there was significant difference between the two groups (P 0.05). There was no significant difference in the first stage of labor between the two groups, but in the second stage and the third stage of labor, the time of the study group was shorter than that of the control group, and the inter-group data had statistical significance. Compared with the two groups, the total incidence of adverse reactions in the study group was 6.82% compared with 9.09 in the control group, and there was no significant difference between the two groups (P 0.05). Conclusion ropivacaine combined with epidural anesthesia can be used in natural delivery of parturient with high safety and analgesic effect.
【作者单位】：内蒙古锡林郭勒盟多伦县妇幼保健院;
【分类号】：R714.3

【参考文献】