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目的比较0.075%左旋布比卡因和0.075%甲磺酸罗哌卡因复合舒芬太尼硬膜外分娩镇痛的临床效果。方法足月妊娠要求分娩镇痛的初产妇80例,随机分为A、B两组,每组40例,镇痛药配方为:A组0.075%左旋布比卡因+舒芬太尼0.5μg/ml,B组0.075%甲磺酸罗哌卡因+舒芬太尼0.5μg/ml。在宫口开至2~3 cm时开始行硬膜外分娩镇痛。观察两组镇痛效果。结果两组运动阻滞效应差异无统计学意义(P>0.05)。两组新生儿Apgar评分,产妇的分娩镇痛满意度比较差异无统计学意义(P>0.05)。结论低浓度左旋布比卡因与甲磺酸罗哌卡因复合小剂量的舒芬太尼可安全有效地用于分娩镇痛。
Objective To compare the clinical effects of 0.075% levobupivacaine and 0.075% ropivacaine mesylate combined with sufentanil for epidural analgesia. Methods 80 cases of primipara caused by labor analgesia in full-term pregnancy were randomly divided into A and B groups, 40 cases in each group. The analgesic formula was: A group 0.075% levobupivacaine + sufentanil 0.5μg / ml, B group 0.075% ropivacaine mesylate + sufentanil 0.5μg / ml. In the cervix to 2 ~ 3 cm when the line began epidural analgesia. Analgesic effect of two groups was observed. Results There was no significant difference in motor block effect between the two groups (P> 0.05). There was no significant difference in satisfaction rate of labor analgesia between two groups of neonatal Apgar score (P> 0.05). Conclusions Sufentanil, a low-dose levobupivacaine combined with ropivacaine mesylate, is safe and effective for labor analgesia.