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观察布比卡因复合芬太尼硬膜外阻滞用于分娩镇痛的效果及对产程和母婴的影响。方法:对45例初产妇随机分为3组:1组0.125%布比卡因,2组0.0625%布比卡因+0.0002%芬太尼,均采用持续硬膜外注药和病人自控给药。3组为对照组。结果:1、2组镇痛满意,两组间无差异;2组局麻药用量少,运动神经阻滞较轻,与1组比较差异显著。1、2组第2产程较3组明显缩短。第2产程时间、出血量和新生儿Apger评分3组间无差异。结论:低浓度布比卡因复合小剂量芬太尼硬膜外阻滞为一安全、有效的分娩镇痛方法。
To observe the effect of bupivacaine combined with fentanyl epidural block on labor analgesia and its effect on labor process and maternal and infant. Methods: Forty-five primiparous women were randomly divided into three groups: a group of 0.125% bupivacaine, two groups of 0.0625% bupivacaine + 0.0002% fentanyl, were used continuous epidural injection and Patient self-controlled drug delivery. 3 groups as control group. Results: The analgesia in groups 1 and 2 was satisfactory with no difference between the two groups. There was little use of local anesthetic in group 2 and mild motor block, which was significantly different from group 1. Group 1 and group 2 were significantly shorter than group 3. There was no difference between the 2nd stage of labor, the amount of bleeding and the newborn Apger score. Conclusion: Low concentration bupivacaine combined with low-dose fentanyl epidural block is a safe and effective method of labor analgesia.