当前位置: 首页 > 期刊 > 《中华现代妇产科学杂志》 > 2005年第11期
编号:10857276
罗哌卡因无痛分娩对产程及母婴影响的研究
http://www.100md.com 《中华现代妇产科学杂志》 2005年第11期
无痛分娩,,无痛分娩;罗哌卡因;产程;母婴影响,1资料与方法,2结果,3讨论,【参考文献】
     【摘要】 目的 研究罗哌卡因和芬太尼无痛分娩对产程及母婴的影响。方法 将要求阴道分娩者分为无痛组56例和普通组70例。无痛组产程中用芬太尼0.05mg+罗哌卡因100mg连续硬膜外麻醉,余处理同普通组。观察两组产妇各产程时间、产后出血量、剖宫产率、缩宫素使用率和新生儿Apgar评分。结果 无痛组产程延长,缩宫素使用率明显增加,产后出血量、剖宫产率和新生儿Apgar评分两组无明显差异。结论 使用罗哌卡因和芬太尼无痛分娩对产妇宫缩有抑制作用,对新生儿无明显不良影响。

    【关键词】 无痛分娩;罗哌卡因;产程;母婴影响

    Study of ropivacaine affecting mother and fetus and duration of labor in analgesic labor

    LUO Hui-juan,ZOU Peng,LUO Xin,et al.

    Department of Obstetrics and Gynecology,The First Affiliated Hospital of Jinan University,Guangzhou 510630,China

    【Abstract】 Objective To study the effect on mother and fetus in analgesic labor with ropivacaine.Methods Pregnancy women through vaginal delivery were divided into one of the two groups,ropivacaine group of 56 women and normal group of 70 women. Ropivacaine group was used continuous epidural analgesia with 0.05 mg fentanyl and 100 mg ropivacaine,other management of delivery process was similar to the normal groups.The delivery process,the rate of cesarean section,the quantity of postpartum hemorrhage,the rate of using oxytocine,Apgar scores of fetus were compared between the two groups.Results The Ropivacaine group had the longer duration of the first and second stage of labor,the higher rate of using oxytocine than normal group.There were no significant difference in the rate of cesarean section,the quantity of postpartum hemorrhage and Apgar scores.Conclusion Painless delivery with ropivacaine and fentanyl inhabite contract of uterus but has no significant influence on fetus. ......

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