论文部分内容阅读
目的:比较罗哌卡因复合芬太尼硬膜外阻滞镇痛和静脉用药镇痛,笑气镇痛对分娩镇痛的临床效果。方法:选择120例拟行自然分娩的单胎足月初产妇,(ASAⅠ-Ⅱ级),要求行无痛分娩无禁忌症,随机分为4组,硬膜外镇痛组,药物镇痛组,笑气组,选择条件相当的40例为对照组。结果:PCEA组满意率85﹪,有效率100﹪;笑气组满意率10﹪,有效率50﹪;药物组满意率5﹪,有效率45﹪;镇痛效果均优于对照组,差异有统计学意义(p<0.05)。四组分娩方式无统计学意义差别;四组间运动阻滞程度无明显差别。结论:罗哌卡因复合芬太尼行硬膜外分娩镇痛具有镇痛效果确切,副作用小,值得推广。
Objective: To compare the clinical efficacy of ropivacaine combined with fentanyl epidural analgesia and intravenous analgesia and nitrous oxide analgesia on labor analgesia. Methods: 120 single-term full-term primiparous women (ASAⅠ-Ⅱ) who were scheduled for spontaneous labor were enrolled in the study. All patients were required to undergo painless childbirth without contraindications. They were randomly divided into 4 groups: epidural analgesia group, In the laughing gas group, 40 cases with similar conditions were selected as the control group. Results: The satisfaction rate of PCEA group was 85% and the effective rate was 100%. The satisfaction rate of nitrous oxide group was 10% and the effective rate was 50%. The satisfaction rate of the drug group was 5% and the effective rate was 45%. The analgesic effect was better than that of the control group Statistical significance (p <0.05). There was no significant difference in the mode of delivery between the four groups; there was no significant difference in the degree of block between the four groups. Conclusion: Ropivacaine combined with fentanyl for epidural analgesia has the exact analgesic effect and low side effects, which deserves promotion.