笔者对51例足月妊娠临产之初产妇应用曲马多,观察其镇痛效果及对新生儿的影响。51例初产妇年龄24～39岁,体重55～95kg,均为单胎头位,无妊娠合并症。于宫口开大3～4cm、产痛剧烈时肌注曲马多100mg。 观察指标:①镇痛效果评定:Ⅰ级为完全无痛,产妇安静;Ⅱ级为产痛基本消失,宫缩时轻度胀感,基本安静;Ⅲ级为产痛有 The author of 51 cases of full-term pregnancy at the beginning of maternal tramadol application to observe the analgesic effect and impact on newborns. 51 cases of primiparae age of 24 to 39 years old, weight 55 ~ 95kg, are single head position, no pregnancy complications. Open in the cervix 3 ~ 4cm, intramuscular injection of tramadol when the severe labor pain 100mg. Observations: ① analgesic effect assessment: Ⅰ grade was completely painless, maternal quiet; Ⅱ grade pain disappeared, contractions mild swelling, the basic quiet; Ⅲ for the pain have