腰硬联合麻醉低浓度罗哌卡因联合芬太尼对无痛分娩的镇痛效果分析(1)
摘要：目的 探讨腰硬联合麻醉低浓度罗哌卡因联合芬太尼对无痛分娩的镇痛效果分析。方法 选取我院收治的行阴道分娩的产妇81例来作为研究对象，随机分为对照组40例和观察组41例，对照组患者在分娩过程中不使用任何镇痛药物，观察组患者行蛛网膜下穿刺，采用腰硬联合麻醉注入低浓度罗哌卡因、芬太尼。观察两组患者的镇痛效果，进行临床对照性分析。结果 观察组产妇宫缩强度、胎心音、VAS评分均明显由于对照组(P<0.05)；两组产妇第二产程时间对比差异无统计学意义(P>0.05)，观察组产妇活跃期时间、产后出血量均明显优于对照组(P<0.05)；观察组剖宫产手术、新生儿窒息发生率明显低于对照组(P<0.05)；对照组产妇满意度52.5%，观察组产妇满意度85.4%，观察组产妇满意度明显高于对照组(P<0.05)。结论 腰硬联合麻醉低浓度罗哌卡因联合芬太尼对无痛分娩的镇痛效果突出，值得在临床实践中推广应用。
关键词：腰硬联合麻醉；低浓度罗哌卡因；芬太尼；无痛分娩
Abstract：Objective To investigate the analysis of combined spinal epidural anesthesia with low concentration ropivacaine combined with fentanyl in painless childbirth analgesia. Methods In our hospital underwent vaginal delivery in 81 cases as the research object，randomly divided into control group 40 cases and observation group 41 cases，control group patients did not use any analgesic drugs during childbirth，observation group of patients with subarachnoid puncture，using combined spinal epidural anesthesia with low concentration ropivacaine and fentanyl.Observe the analgesic effect of the two groups of patients，analysis of clinical control. Results In the observation group， maternal contractions，fetal heart rate，VAS scores than the control group(P < 0.05)；there was no significant difference between the two groups the second stage of labor time comparison (P>0.05)， the observation group were active period of time， the amount of postpartum hemorrhage was significantly better than the control group (P < 0.05)；The incidence of neonatal asphyxia in the observation group was significantly lower than that in the control group (P < 0.05)； control group maternal satisfaction 52.5%，maternal satisfaction rate of the observation group 85.4%，observation group maternal satisfaction was significantly higher than the control group (P < 0.05). Conclusion Combined spinal epidural anesthesia analgesia with low concentration ropivacaine combined with fentanyl in painless childbirth is outstanding it is worthy of popularization and application in clinical practice.
, 百拇医药
Key words：Combined spinal epidural anesthesia；Ropivacaine；Fentanyl；Painless childbirth
分娩疼痛是分娩過程中常见症状，给产妇带来了巨大的痛苦和心理压力，随着医疗技术的进步，无痛分娩在妇产科中得到实际应用，成为多数产妇的选择[1]。本研究中笔者以81例行阴道分娩的产妇为例，分两组采用对比分析法主要探讨腰硬联合麻醉低浓度罗哌卡因联合芬太尼对无痛分娩的镇痛效果分析，将结果报道如下。
1 资料与方法
1.1一般资料 81例研究对象均为我院2014年2月～2015年10月收治的行阴道分娩产妇，所有产妇均知情同意，随机分为对照组40例和观察组41例，现将患者资料整理如下：对照组产妇年龄22～33岁，平均年龄(27.2±4.1)岁；孕周：36～42w，平均孕周：(39.1±3.3) w；文化程度：大专及以上学历21例，初高中15例，小学及文盲4例；其中初产妇25例，经产妇15例。观察组产妇年龄23～33岁，平均年龄(27.6±4.5)岁；孕周：37～42 w，平均孕周(39.4±3.6) w；文化程度：大专及以上学历20例，初高中16例，小学及文盲5例；其中初产妇26例，经产妇15例。所有产妇均符合行阴道分娩的标准，排除神经系统障碍、严重肝肾疾病、严重心脑血管疾病、造血及凝血功能障碍等患者。两组产妇在年龄、孕周、文化程度、生育史等资料方面无明显差异(P>0.05)，具有可比性。, http://www.100md.com(欧怡)
关键词：腰硬联合麻醉；低浓度罗哌卡因；芬太尼；无痛分娩
Abstract：Objective To investigate the analysis of combined spinal epidural anesthesia with low concentration ropivacaine combined with fentanyl in painless childbirth analgesia. Methods In our hospital underwent vaginal delivery in 81 cases as the research object，randomly divided into control group 40 cases and observation group 41 cases，control group patients did not use any analgesic drugs during childbirth，observation group of patients with subarachnoid puncture，using combined spinal epidural anesthesia with low concentration ropivacaine and fentanyl.Observe the analgesic effect of the two groups of patients，analysis of clinical control. Results In the observation group， maternal contractions，fetal heart rate，VAS scores than the control group(P < 0.05)；there was no significant difference between the two groups the second stage of labor time comparison (P>0.05)， the observation group were active period of time， the amount of postpartum hemorrhage was significantly better than the control group (P < 0.05)；The incidence of neonatal asphyxia in the observation group was significantly lower than that in the control group (P < 0.05)； control group maternal satisfaction 52.5%，maternal satisfaction rate of the observation group 85.4%，observation group maternal satisfaction was significantly higher than the control group (P < 0.05). Conclusion Combined spinal epidural anesthesia analgesia with low concentration ropivacaine combined with fentanyl in painless childbirth is outstanding it is worthy of popularization and application in clinical practice.
, 百拇医药
Key words：Combined spinal epidural anesthesia；Ropivacaine；Fentanyl；Painless childbirth
分娩疼痛是分娩過程中常见症状，给产妇带来了巨大的痛苦和心理压力，随着医疗技术的进步，无痛分娩在妇产科中得到实际应用，成为多数产妇的选择[1]。本研究中笔者以81例行阴道分娩的产妇为例，分两组采用对比分析法主要探讨腰硬联合麻醉低浓度罗哌卡因联合芬太尼对无痛分娩的镇痛效果分析，将结果报道如下。
1 资料与方法
1.1一般资料 81例研究对象均为我院2014年2月～2015年10月收治的行阴道分娩产妇，所有产妇均知情同意，随机分为对照组40例和观察组41例，现将患者资料整理如下：对照组产妇年龄22～33岁，平均年龄(27.2±4.1)岁；孕周：36～42w，平均孕周：(39.1±3.3) w；文化程度：大专及以上学历21例，初高中15例，小学及文盲4例；其中初产妇25例，经产妇15例。观察组产妇年龄23～33岁，平均年龄(27.6±4.5)岁；孕周：37～42 w，平均孕周(39.4±3.6) w；文化程度：大专及以上学历20例，初高中16例，小学及文盲5例；其中初产妇26例，经产妇15例。所有产妇均符合行阴道分娩的标准，排除神经系统障碍、严重肝肾疾病、严重心脑血管疾病、造血及凝血功能障碍等患者。两组产妇在年龄、孕周、文化程度、生育史等资料方面无明显差异(P>0.05)，具有可比性。, http://www.100md.com(欧怡)