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目的:探讨罗哌卡因与芬太尼联合硬麻应用于无痛分娩中的效果。方法:根据120例产妇意愿将其分为研究组60例(采取硬麻分娩镇痛处理)与对照组60例(未采取分娩镇痛处理)。观察对比两组VAS视觉模拟评分量表分值及两组血浆前白蛋白(PA)及C反应蛋白(C-CRP)指标变化情况。结果:研究组VAS分值、PA、C-CRP指标明显低于对照组(P<0.05)。结论:罗哌卡因与芬太尼联合硬膜麻醉可以有效降低孕妇的疼痛阈值,缓解分娩时的应激反应,且对新生儿无不良影响,安全可靠,适用于临床。
Objective: To investigate the effect of combined application of ropivacaine and fentanyl in painless labor. Methods: According to the wishes of 120 maternal women, they were divided into study group of 60 cases (taking hard anesthesia labor analgesia treatment) and control group of 60 cases (no labor analgesia treatment). The VAS visual analogue scale scores and the changes of plasma pre-albumin (PA) and C-reactive protein (C-CRP) were compared between the two groups. Results: The scores of VAS, PA and C-CRP in the study group were significantly lower than those in the control group (P <0.05). Conclusion: Ropivacaine and fentanyl combined with dural anesthesia can effectively reduce the pain threshold of pregnant women, relieve the stress reaction during childbirth, and have no adverse effect on the newborn, safe and reliable, suitable for clinical application.