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目的:观察自控硬膜外镇痛用于分娩镇痛的临床效果及对产程、母婴的影响。方法:将100例初产妇分为2组各50例。观察组采用自控硬膜外镇痛方法,先注入1.5%利多卡因3ml作试验剂量,然后予0.125%罗哌卡因加芬太尼2μg/ml,5ml/h;对照组不采用镇痛措施而实施自然分娩。观察两组疼痛分级情况、产程时间、分娩方式、新生儿Apgar评分情况及产后出血量。结果:两组疼痛分级情况差异有统计学意义(P<0.05);观察组第一产程活跃期明显缩短(P<0.05);两组剖宫产率、产后平均出血量和新生儿Apgar评分比较差异无统计学意义(P>0.05)。结论:自控硬膜外镇痛用于分娩镇痛效果确切,不影响产程及新生儿。
OBJECTIVE: To observe the clinical effect of self-controlled epidural analgesia on labor analgesia and its effects on labor process and maternal and infant. Methods: 100 primipara were divided into two groups of 50 cases. Patients in the observation group received self-controlled epidural analgesia. First, 1.5ml of lidocaine (3ml) was injected into the test group, followed by 0.125% ropivacaine plus fentanyl (2μg / ml, 5ml / And the implementation of natural childbirth. Pain grading, labor time, mode of delivery, neonatal Apgar score and postpartum hemorrhage were observed. Results: There was a significant difference in pain grading between the two groups (P <0.05). The active phase of the first stage of labor in the observation group was significantly shorter (P <0.05). The cesarean section rate, average postpartum blood loss and neonatal Apgar score The difference was not statistically significant (P> 0.05). Conclusion: The controlled epidural analgesia is effective in analgesia during labor and does not affect labor and newborn.