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目的探讨自控镇痛技术在分娩镇痛中的疗效。方法选择 ASA 、 级 ,足月妊娠、单胎、无产道畸形 ,预测可经阴道分娩的初产妇 66例 ,进行硬膜外穿刺置管 ,连接计算机控制的微量泵 ,由医师设定指标 ,电脑限定 ,产妇自控镇痛行无痛分娩 ,输注的药物为0 .15 %罗比卡因混合液。结果采用自控镇痛的 66例产妇镇痛效果良好 ,总有效率 10 0 %。结论低浓度罗比卡因应用于无痛分娩自控镇痛 ,起效快 ,镇痛效果完善 ,对运动神经阻滞作用轻 ,对产程和母婴均未产生不良影响。此项新技术是一种较理想的分娩镇痛方法。
Objective To investigate the efficacy of controlled analgesia in labor analgesia. Methods Sixty-eight cases of primiparous women who had vaginal delivery were enrolled in the study. ASA, grade, full-term pregnancy, single-term pregnancy and unmarried malformations were enrolled in this study. Epidural catheterization was performed and computer-controlled micropumps were connected. Limited, maternal analgesia painless row painless delivery, infusion of drugs 0.15% ropivacaine mixture. Results The 66 patients with controlled analgesia had a good analgesic effect with a total effective rate of 100%. Conclusion The low concentration of ropivacaine used in painless childbirth controlled analgesia, rapid onset, complete analgesic effect, light motor block, no adverse effects on labor process and mother and infant. This new technology is a more ideal method of labor analgesia.