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目的探讨罗哌卡因复合芬太尼在产妇无痛分娩中的临床效果,为今后的治疗工作提供参考依据。方法选取太和县中医医院2011年11月至2013年11月收治的360例行无痛分娩的初产妇为观察组,另选取同期未行无痛分娩的360例初产妇为对照组,给予观察组产妇罗哌卡因芬太尼镇痛,比较两组产妇镇痛效果。结果两组第一、二、三产程时疼痛、自然分娩、中转剖宫产例数比较差异有统计学意义(P<0.05);两组新生儿出生后5 min、10 min身体状况比较差异亦有统计学意义(P<0.05)。结论罗哌卡因复合芬太尼镇痛效果良好,对产妇及婴儿影响较小,同时给药方便,容易被产妇接受,值得临床推广应用。
Objective To investigate the clinical effect of ropivacaine combined with fentanyl in painless childbirth and to provide a reference for the future treatment. Methods 360 cases of primipara of painless childbirth who were treated in Taihe Traditional Chinese Medicine Hospital from November 2011 to November 2013 were selected as the observation group. 360 cases of primiparae who did not undergo painless childbirth during the same period were selected as the control group, Group of female ropivacaine fentanyl analgesia, analgesic effect of the two groups were compared. Results There were significant differences in the number of cesarean section cases between the two groups in the first, second and third trimester of labor (P <0.05). The difference in body condition between the two groups after 5 and 10 min of birth was also significant There was statistical significance (P <0.05). Conclusion The analgesic effect of ropivacaine combined with fentanyl is good, which has less impact on maternal and infant. It is also convenient for administration and easy to be accepted by the mothers. It is worthy of clinical application.