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目的探讨芬太尼联合和低浓度小剂量罗哌卡因用于无痛分娩的效果。方法 120例产妇随机分为观察组和对照组,各60例。对照组产妇不采用镇痛措施,观察组采用芬太尼结合低浓度小剂量罗哌卡因进行无痛分娩。观察并记录两组产妇产程时间、产妇分娩的方式、分娩出血量及疼痛情况。结果观察组产妇第一产程、第二产程及第三产程明显比对照组短(均P<0.05),观察组产妇剖宫产率和阴道助产率明显比对照组低(均P<0.05);观察组产妇产中出血量明显比对照组少,观察组产妇疼痛情况明显比对照组轻,差异均有统计学意义(均P<0.05)。结论芬太尼结合低浓度罗哌卡因用于无痛分娩有较好的临床效果,值得推广。
Objective To investigate the effect of fentanyl combined with low-dose low-dose ropivacaine for painless labor. Methods 120 cases of maternal women were randomly divided into observation group and control group, 60 cases each. The control group of mothers did not use analgesic measures, the observation group using fentanyl combined with low-concentration low-dose ropivacaine for painless childbirth. Observe and record the two groups of maternal labor time, the way of maternal delivery, the amount of bleeding and pain. Results The rate of cesarean section and vaginal delivery in the observation group were significantly lower than those in the control group (all P <0.05) The bleeding in the observation group was significantly less than that in the control group. The pain in the observation group was significantly lighter than that in the control group (all P <0.05). Conclusion Fentanyl with low concentration of ropivacaine for painless childbirth has a good clinical effect, it is worth promoting.