罗哌卡因联合硬腰麻醉法对自然分娩产妇镇痛效应及安全性分析

发布时间：2018-11-15 17:09

【摘要】：目的:观察罗哌卡因联合硬腰麻醉法对自然分娩产妇镇痛效应,并对其安全性进行分析。方法:选取在我院行自然分娩125例产妇随机均分为两组,对照组63例进行无镇痛药物自然分娩,研究组62例给予罗哌卡因联合硬腰麻醉法进行自然分娩,对比分析两组分娩产妇的VAS评分,观察两组产妇不同产程时间及不良反应发生率。结果:两组产妇潜伏期VAS评分无显著差异(P0.05),研究组产妇在活跃期、第二产程及第三产程时VAS评分均显著低于对照组(P0.05)。两组产妇第一产程时间及第三产程时间无显著差异(P0.05),研究组第二产程时间显著短于对照组,差异具有统计学意义(P0.05)。研究组与对照组不良反应发生率差异无统计学意义(X~2=0.083,P0.05)。结论:罗哌卡因联合硬腰麻醉法对自然分娩产妇镇痛效应良好,安全性较高,值得推广。
[Abstract]:Objective: to observe the analgesic effect of ropivacaine combined with epidural anesthesia on parturient and analyze its safety. Methods: 125 cases of parturient in our hospital were randomly divided into two groups: the control group (63 cases) received spontaneous delivery without analgesic drugs, the study group (62 cases) received ropivacaine combined with epidural anesthesia for natural delivery. The VAS scores of parturient in two groups were compared and the time of delivery and the incidence of adverse reactions were observed. Results: there was no significant difference in the latency VAS score between the two groups (P0.05). The VAS score of the study group was significantly lower than that of the control group at the active stage, the second stage of labor and the third stage of labor (P0.05). There was no significant difference in the time of the first and third stages of labor between the two groups (P0.05), while the time of the second stage of labor in the study group was significantly shorter than that in the control group (P0.05). There was no significant difference in the incidence of adverse reactions between the study group and the control group (P 0.05). Conclusion: ropivacaine combined with epidural anesthesia has a good analgesic effect on parturient with natural delivery and is safe and worth popularizing.
【作者单位】：广东省河源市和平县妇幼保健院妇产科;
【分类号】：R714.3

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