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目的观察小剂量罗哌卡因复合芬太尼硬膜外麻醉用于分娩镇痛中的效果。方法根据产妇意愿将262例自然分娩的初产妇分为观察组148例和对照组114例。观察组给予小剂量罗哌卡因复合芬太尼硬膜外麻醉分娩镇痛,对照组采取传统分娩技术,观察2组疼痛视觉模拟评分(VAS),比较2组总产程、孕妇产后2h出血量及新生儿Apgar评分情况。结果观察组VAS评分低于对照组、总产程短于对照组,差异均有统计学意义(P<0.05)。2组产后出血量、新生儿Apgar评分比较差异无统计学意义(P>0.05)。结论小剂量罗哌卡因复合芬太尼硬膜外麻醉用于自然分娩产妇的分娩镇痛可有效改善孕产妇分娩中的疼痛程度,缩短产程提高了产科质量,且对新生儿无显著影响,值得临床推广应用。
Objective To observe the effect of low dose ropivacaine combined with fentanyl epidural anesthesia in labor analgesia. Methods Based on the mothers’ wishes, 262 cases of spontaneous labor were divided into observation group (148 cases) and control group (114 cases). The observation group was given epidural analgesia with low-dose ropivacaine combined with fentanyl, the traditional labor technique was used in the control group, and the pain visual analogue scale (VAS) was observed in 2 groups. The 2-hour postpartum hemorrhage volume And neonatal Apgar score. Results The VAS score of the observation group was lower than that of the control group, and the total length of labor was shorter than that of the control group. The difference was statistically significant (P <0.05). There was no significant difference in neonatal Apgar score between the two groups (P> 0.05). Conclusions Epidural anesthesia with low-dose ropivacaine combined with fentanyl for spontaneous labor for spontaneous labor can effectively reduce the pain during delivery and shorten the labor process, improve obstetric quality, and have no significant effect on newborns. Worthy of clinical application.