无痛分娩中盐酸罗哌卡因复合芬太尼的临床麻醉分析

发布时间：2018-11-24 10:56

【摘要】：目的:探析无痛分娩中盐酸罗哌卡因复合芬太尼的临床麻醉效果。方法:选取我院于2015年1月~2016年6月收治的260例分娩产妇为此次研究对象,根据产妇意愿将其分为对照组(自然分娩,n=130)和观察组(无痛分娩,n=130)。对照组未采取任何镇痛措施,观察组给予盐酸罗哌卡因复合芬太尼麻醉,对比分析临床麻醉效果。结果:两组产妇镇痛前VAS评分无显著差异(P0.05);观察组产妇在第一产程、第二产程、第三产程的VAS评分均明显优于对照组(P0.05)。观察组的自然分娩率为93.08%,明显高于对照组的78.46%(P0.05);两组新生儿Apgar评分无显著差异(P0.05)。结论:在无痛分娩中,盐酸罗哌卡因复合芬太尼的临床麻醉效果较为显著,自然分娩率相对较高,可缓解产妇产程中的疼痛感,具有临床推广价值。
[Abstract]:Objective: to investigate the anesthetic effect of ropivacaine hydrochloride combined with fentanyl in painless delivery. Methods: 260 cases of parturient who were admitted to our hospital from January 2015 to June 2016 were divided into two groups: control group (natural delivery) and observation group (painless delivery, nca130) according to the wishes of puerpera. The control group did not take any analgesic measures. The observation group was anesthetized with ropivacaine hydrochloride and fentanyl. Results: there was no significant difference in VAS score between the two groups before analgesia (P0.05), and the VAS score of the observation group was significantly better than that of the control group in the first stage of labor, the second stage of labor and the third stage of labor (P0.05). The rate of natural delivery in the observation group was 93.08, which was significantly higher than that in the control group (78.46%) (P0.05); there was no significant difference in Apgar score between the two groups (P0.05). Conclusion: in painless delivery, ropivacaine hydrochloride combined with fentanyl has a better clinical anesthetic effect and a higher rate of natural delivery, which can relieve the pain in the labor process of parturient and has the value of clinical popularization.
【作者单位】：广州市白云区第三人民医院麻醉科;
【分类号】：R714.3

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