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目的对持续硬膜外分娩镇痛进行临床效果观察。方法选取我院2012年5月~2012年8月期间有分娩镇痛要求、无硬膜外穿刺禁忌证、无阴道分娩禁忌证的初产妇400例作观察组,随机选择400例同期相同条件的产妇作为对照组,两组产妇的年龄、体重、孕周差异无显著性(p>0.05),进行临床镇痛分析。结果观察组中镇痛开始至180分钟内VAS评分优303例,良94例,差3例。好于对照组。结论低浓度罗哌卡因复合小剂量芬太尼用于分娩镇痛方法简单,能够大大减轻产妇痛苦,在一定程度上降低阴道助产率和剖宫产率,安全有效,值得临床推广应用。
Objective To observe the clinical effect of continuous epidural analgesia. Methods 400 cases of mothers with labor analgesia, no contraindications to epidural puncture and no contraindications of vaginal delivery in our hospital from May 2012 to August 2012 were selected as the observation group and randomly selected 400 cases of the same conditions Maternal as a control group, the two groups of maternal age, weight, gestational age difference was not significant (p> 0.05), the clinical analgesic analysis. Results In the observation group, VAS score was excellent in 303 cases, good in 94 cases and poor in 3 cases in 180 minutes. Better than the control group. Conclusions The low concentration of ropivacaine combined with fentanyl for labor analgesia is simple and can greatly reduce the pain of maternal women. It can reduce vaginal delivery rate and cesarean section rate to a certain extent, which is safe and effective and worthy of clinical application.