[摘要] 目的 分析低浓度罗哌卡因连续硬膜外分娩镇痛的效果。方法 方便选取该院2013年6月—2017年4月要求分娩镇痛的产妇80例，随机分为罗哌卡因组(R组)，罗哌卡因联合舒芬太尼组(RS组)。另随机抽取同期没有采用分娩镇痛措施的自然分娩产妇40例为对照组(C组)。记录镇痛前后的VAS评分，不良反应及剖宫产的情况。结果 R组与RS组镇痛后VAS评分[分别为(3.0±1.3)分和(2.7±1.2)分]均低于C组(8.5±1.1)分(P<0.001);剖宫产率(分别为15.0%与17.5%)也低于C组(P=0.032、0.013)。R组镇痛后的VAS评分、不良反应及剖宫产率与RS组差异无统计学意义(P>0.05)。 结论 单纯低浓度罗哌卡因硬膜外注射即可获得满意的分娩镇痛效果。

    [关键词] 分娩镇痛;罗哌卡因;舒芬太尼

    [中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2019)04(b)-0102-03

    [Abstract] Objective To analyze the effect of low-concentration ropivacaine for continuous epidural labor analgesia. Methods 80 women with labor analgesia from June 2013 to April 2017 were convenient randomly divided into ropivacaine group (R group) and ropivacaine combined with sufentanil group (RS group). Another 40 cases of natural delivery women who did not use labor analgesia during the same period were selected as the control group (group C). The VAS scores before and after analgesia ......