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目的:本文主要是对比在无痛分娩过程中采用罗哌卡因和布比卡因的临床镇痛效果。方法:选取我院从2009年3月~2012年3月收治的自愿采用无痛分娩产妇共83例。随机将患者分为2组,A组产妇采用罗哌卡因,B组产妇采用布比卡因作为无痛分娩的局麻药。对比2种药物的镇痛效果以及分娩情况。结果:A组和B组产妇对于镇痛效果的优良率分别为84.1%和82.1%,2组镇痛效果对比无显著性差异(P>0.01)。根据上表可以看出B组产妇的第1产程和第3产程均明显要比A组产妇要长,2组产妇的总产程对比A组产妇要明显短于B组产妇(P<0.01)。A组和B组产妇的不良反应率低且无显著性差异。结论:2种药物的镇痛效果相似,安全性高。罗哌卡因的优良率要稍高于布比卡因,但布比卡因会延长分娩的产程,因此在无痛分娩中选用罗哌卡因的临床效果稍好。
Objectives: This article is to compare the clinical analgesic effects of ropivacaine and bupivacaine during painless labor. Methods: Select our hospital from March 2009 ~ March 2012 admitted to the voluntary use of painless childbirth a total of 83 cases. Patients were randomly divided into 2 groups, group A maternal use of ropivacaine, group B maternal use of bupivacaine as painless delivery of local anesthetics. Compare the analgesic effect of two drugs and the delivery situation. Results: The excellent and good rates of analgesic effect in group A and group B were 84.1% and 82.1%, respectively. There was no significant difference in analgesic effect between two groups (P> 0.01). According to the above table, it can be seen that the first stage of labor and the third stage of labor in group B are significantly longer than those in group A, and the total length of labor in group 2 is significantly shorter than that in group B (P <0.01). The rate of adverse reactions in both groups A and B was low with no significant difference. Conclusion: The two drugs have similar analgesic effect and high safety. The good rate of ropivacaine is slightly higher than that of bupivacaine, but bupivacaine will prolong the labor process of delivery, so the clinical effect of ropivacaine in painless childbirth slightly better.