论文部分内容阅读
目的:评估低浓度罗哌卡因复合芬太尼于潜伏期即开始硬膜外分娩镇痛的有效性及安全性。方法:已临产初产妇67例,随机分为3组,A组(23例)在宫口开至1～2cm、B组(21例)在宫口开至3～4cm应用硬膜外自控分娩镇痛,C组(23例)未用分娩镇痛。观察VAS评分、产程进展、催产素使用率、分娩方式、围生儿结局及分娩过程出血量,记录分娩过程中不良事件。结果:①A组VAS评分在潜伏期显著低于B组和C组(P<0.05),在产程活跃期和第二产程A、B组VAS明显低于C组(P<0.05);②3组产程进展无明显差异(P>0.05),催产素使用率A组明显高于B、C组(P<0.05);③3组分娩方式、围生儿结局及分娩过程中出血量差异无统计学意义(P>0.05)。结论:产程潜伏期即开始应用低浓度罗哌卡因复合芬太尼行硬膜外分娩镇痛安全有效。
PURPOSE: To evaluate the efficacy and safety of low concentration ropivacaine combined with fentanyl for initiating epidural analgesia during the incubation period. Methods: A total of 67 primiparae women were enrolled in the study. They were randomly divided into 3 groups: group A (23 cases) were open to 1 ~ 2 cm in cervix; group B (21 cases) Analgesia, C group (23 cases) did not use labor analgesia. VAS score, labor progress, oxytocin usage rate, mode of delivery, perinatal outcome, and bleeding during childbirth were recorded. Adverse events during childbirth were recorded. Results: ①The VAS score of group A was significantly lower than that of group B and group C (P <0.05), and the VAS of group A and group B was significantly lower than that of group C in the active stage of labor and in the second stage of labor (P <0.05) (P> 0.05). The rate of oxytocin use in group A was significantly higher than that in group B and C (P <0.05). ③ There was no significant difference in the mode of delivery, perinatal outcome and labor during delivery > 0.05). CONCLUSIONS: The onset of labor latencies is safe and effective with low-dose ropivacaine plus fentanyl for epidural analgesia.