安徽医学
安徽醫學
안휘의학
ANHUI MEDICAL JOURNAL
2014年
7期
934-936
,共3页
分娩镇痛%催产素%产程%产后出血%新生儿窒息
分娩鎮痛%催產素%產程%產後齣血%新生兒窒息
분면진통%최산소%산정%산후출혈%신생인질식
Analgesia%Oxytocin%Production process%Postpartum hemorrhage%Neonatal asphyxia
目的：探讨罗呱卡因联合芬太尼硬膜外阻滞麻醉分娩镇痛的效果及对母儿安全性的影响，潜伏期进行分娩镇痛可行性的分析。方法选择自愿要求硬膜外阻滞麻醉分娩镇痛的108例产妇为观察组，同期未实施镇痛的100例产妇为对照组。比较两组产妇分娩镇痛效果、产程时间、催产素使用、新生儿窒息及产后出血情况。镇痛时机的选择不同的潜伏期组与活跃期组，比较两组分娩产程时间、催产素使用、新生儿窒息及产后出血情况。结果观察组视觉模拟评分明显低于对照组（P＜0．05），但增加催产素使用率（P＜0．05）；两组新生儿窒息、产后出血、产程时间比较差异无统计学意义（P＞0．05）；镇痛时机的选择不同的潜伏期组与活跃期组间新生儿窒息、产后出血、产程时间比较差异无统计学意义（P＞0．05）。结论罗呱卡因联合芬太尼硬膜外阻滞麻醉分娩镇痛的效果好，对母儿无不良影响，潜伏期可行分娩镇痛，满足整个产程的需要，值得临床进一步推广应用。
目的：探討囉呱卡因聯閤芬太尼硬膜外阻滯痳醉分娩鎮痛的效果及對母兒安全性的影響，潛伏期進行分娩鎮痛可行性的分析。方法選擇自願要求硬膜外阻滯痳醉分娩鎮痛的108例產婦為觀察組，同期未實施鎮痛的100例產婦為對照組。比較兩組產婦分娩鎮痛效果、產程時間、催產素使用、新生兒窒息及產後齣血情況。鎮痛時機的選擇不同的潛伏期組與活躍期組，比較兩組分娩產程時間、催產素使用、新生兒窒息及產後齣血情況。結果觀察組視覺模擬評分明顯低于對照組（P＜0．05），但增加催產素使用率（P＜0．05）；兩組新生兒窒息、產後齣血、產程時間比較差異無統計學意義（P＞0．05）；鎮痛時機的選擇不同的潛伏期組與活躍期組間新生兒窒息、產後齣血、產程時間比較差異無統計學意義（P＞0．05）。結論囉呱卡因聯閤芬太尼硬膜外阻滯痳醉分娩鎮痛的效果好，對母兒無不良影響，潛伏期可行分娩鎮痛，滿足整箇產程的需要，值得臨床進一步推廣應用。
목적：탐토라고잡인연합분태니경막외조체마취분면진통적효과급대모인안전성적영향，잠복기진행분면진통가행성적분석。방법선택자원요구경막외조체마취분면진통적108례산부위관찰조，동기미실시진통적100례산부위대조조。비교량조산부분면진통효과、산정시간、최산소사용、신생인질식급산후출혈정황。진통시궤적선택불동적잠복기조여활약기조，비교량조분면산정시간、최산소사용、신생인질식급산후출혈정황。결과관찰조시각모의평분명현저우대조조（P＜0．05），단증가최산소사용솔（P＜0．05）；량조신생인질식、산후출혈、산정시간비교차이무통계학의의（P＞0．05）；진통시궤적선택불동적잠복기조여활약기조간신생인질식、산후출혈、산정시간비교차이무통계학의의（P＞0．05）。결론라고잡인연합분태니경막외조체마취분면진통적효과호，대모인무불량영향，잠복기가행분면진통，만족정개산정적수요，치득림상진일보추엄응용。
Objective To investigate the ropivacaine epidural anesthesia combined with fentanyl analgesia effect and the impact on the safety of mother and child,the incubation period to analyze the feasibility of labor analgesia.Methods Voluntary requirements of lumbar epidural anesthesia for labor analgesia of 108 cases of women in the observation group,did not implement the same period 100 cases of mater-nal pain control group.Comparison of two maternity analgesia,duration of labor,use of oxytocin,neonatal asphyxia,and postpartum hemor-rhage.Analgesic timing of different latencies group active phase group were compared childbirth labor time,oxytocin use,neonatal asphyxia, and postpartum hemorrhage.Results The visual analog scale (Visual analogue scale,VAS)scores were significantly lower than the control group (P<0.05 ),but the increase oxytocin usage was significantly different (P<0.05 );groups of neonatal asphyxia,postpartum hemor-rhage,labor time was no significant difference (P>0.05);between the timing of different analgesic latencies group and active group of neo-natal asphyxia,postpartum hemorrhage,duration of labor was not statistically significant (P>0.05).Conclusion Ropivacaine fentanyl an-algesia epidural anesthesia effect is good,no adverse effects on mother and child,the incubation period analgesia feasible to meet the needs of the entire production process,is worthy of further promotion.
