中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
14期
56-56,58
,共2页
无痛分娩%硬膜外麻醉%盐酸罗哌卡因%复合芬太尼
無痛分娩%硬膜外痳醉%鹽痠囉哌卡因%複閤芬太尼
무통분면%경막외마취%염산라고잡인%복합분태니
Painless labor%Epidural anesthesia%Ropivacaine hydrochloride%Compound fentanyl
目的：探讨无痛分娩中罗哌卡因复合芬太尼腰硬联合麻醉的效果。方法：2013年2月-2014年1月收治无痛分娩产妇300例，随机分成对照组和观察组，各150例。对照组应用布比卡因+复合芬太尼进行镇痛，观察组应用盐酸罗哌卡因+复合芬太尼进行镇痛。结果：观察组第1产程和第2产程时间比对照组短，两组比较差异有统计学意义(P＜0.05)，两组出血量比较差异无统计学意义(P＞0.05)；观察组顺产148例(98.7%)，对照组顺产106例(70.7%)，两组比较差异有统计学意义(P＜0.05)。结论：无痛分娩中应用罗哌卡因复合芬太尼腰硬联合麻醉效果佳，深受患者好评。
目的：探討無痛分娩中囉哌卡因複閤芬太尼腰硬聯閤痳醉的效果。方法：2013年2月-2014年1月收治無痛分娩產婦300例，隨機分成對照組和觀察組，各150例。對照組應用佈比卡因+複閤芬太尼進行鎮痛，觀察組應用鹽痠囉哌卡因+複閤芬太尼進行鎮痛。結果：觀察組第1產程和第2產程時間比對照組短，兩組比較差異有統計學意義(P＜0.05)，兩組齣血量比較差異無統計學意義(P＞0.05)；觀察組順產148例(98.7%)，對照組順產106例(70.7%)，兩組比較差異有統計學意義(P＜0.05)。結論：無痛分娩中應用囉哌卡因複閤芬太尼腰硬聯閤痳醉效果佳，深受患者好評。
목적：탐토무통분면중라고잡인복합분태니요경연합마취적효과。방법：2013년2월-2014년1월수치무통분면산부300례，수궤분성대조조화관찰조，각150례。대조조응용포비잡인+복합분태니진행진통，관찰조응용염산라고잡인+복합분태니진행진통。결과：관찰조제1산정화제2산정시간비대조조단，량조비교차이유통계학의의(P＜0.05)，량조출혈량비교차이무통계학의의(P＞0.05)；관찰조순산148례(98.7%)，대조조순산106례(70.7%)，량조비교차이유통계학의의(P＜0.05)。결론：무통분면중응용라고잡인복합분태니요경연합마취효과가，심수환자호평。
Objective:To explore the effect of ropivacaine combined with fentanyl for combined spinal-epidural anesthesia in painless labor.Methods:We selected 250 cases of maternal with painless delivery from February 2013 to January 2014.These patients were randomly divided into the observation group and the control group with 125 cases in each.The control group used bupivacaine plus compound fentanyl for analgesia,while the observation group used ropivacaine hydrochloride plus compound fragrance for analgesia.Results:The time of the observation group in the first stage and the second stage is shorter than the control group ,and there was significantly different(P<0.05).The amount of bleeding of the two groups were not significantly different(P>0.05).In the observation group,148 cases(98.7%)were eutocia,and in the control group,106 cases(70.7%)were eutocia.There were significant differences between two groups(P<0.05).Conclusion:The effect of ropivacaine combined with fentanyl for combined spinal-epidural anesthesia in painless labor is good,and it is accepted by patients.
