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目的:探讨用甲磺罗哌卡因+芬太尼硬膜外阻滞进行分娩镇痛对产妇及新生儿的影响。方法:选择500例孕龄37~42周,单胎头位,无明显头盆不称,无产科并发症、合并症的初产妇进行分娩镇痛为镇痛组,500例同期相同条件的产妇设为对照组,两组进行产程进展、产后出血量及分娩方式、新生儿A pgar评分、产程中胎心音变化的比较。结果:无痛分娩镇痛效果好,产程进展显著快于对照组,剖宫产率明显降低,产程中胎心音变化降低,新生儿A pgar评分及产后出血量两组间比较无显著性差异。结论:使用甲磺酸罗哌卡因+芬太尼硬膜外阻滞镇痛效果确切,可促进产程进展,降低剖宫产率,对母婴无不良影响。
Objective: To investigate the effects of labor analgesia with malabromine and fentanyl on maternal and newborn infants. Methods: 500 cases of gestational age 37 to 42 weeks, single head position, no obvious head basin is not known, no obstetric complications, complications of primipara labor analgesia analgesia group, 500 cases of women with the same conditions at the same period As the control group, two groups of labor progress, postpartum hemorrhage and delivery mode, neonatal A pgar score, fetal heart rate changes in labor compared. Results: Analgesic effect of painless labor was good, the progress of labor was significantly faster than that of control group, the rate of cesarean section was significantly decreased, the change of fetal heart sound in labor was decreased, there was no significant difference between neonatal A pgar score and postpartum hemorrhage . Conclusion: The epidural analgesia with ropivacaine mesylate + fentanyl is effective and can promote the progress of labor and reduce the rate of cesarean section with no adverse effects on maternal and infant.