中国现代医药杂志
中國現代醫藥雜誌
중국현대의약잡지
MODERN MEDICINE JOURNAL OF CHINA
2015年
1期
53-55
,共3页
无痛分娩%罗哌卡因%芬太尼%母婴
無痛分娩%囉哌卡因%芬太尼%母嬰
무통분면%라고잡인%분태니%모영
Painless childbirth%Ropivacaine%Fentanyl%Maternal-infant
目的:探讨罗哌卡因复合芬太尼在无痛分娩中对母婴的影响。方法选择2013年10月~2014年10月在我院产科分娩的产妇146例。其中观察组73例接受罗哌卡因复合芬太尼硬膜外镇痛,对照组73例不接受分娩镇痛,比较两组产程、产后出血量、剖宫产例数、疼痛程度、胎儿及新生儿状况。结果观察组第一产程短于对照组,剖宫产率低于对照组,无痛、轻度疼痛的患者比例高于对照组,两组差异有统计学意义(P<0.05);两组第二产程,产后出血量,新生儿1min、5min、10min Apgar评分,胎儿窘迫发生率,新生儿窒息发生率与对照组比较差异无统计学意义(P>0.05)。结论罗哌卡因复合芬太尼在无痛分娩中效果显著,可缩短第一产程,缓解产妇的疼痛感觉,降低剖宫产率,对产妇及胎儿无不良影响。
目的:探討囉哌卡因複閤芬太尼在無痛分娩中對母嬰的影響。方法選擇2013年10月~2014年10月在我院產科分娩的產婦146例。其中觀察組73例接受囉哌卡因複閤芬太尼硬膜外鎮痛,對照組73例不接受分娩鎮痛,比較兩組產程、產後齣血量、剖宮產例數、疼痛程度、胎兒及新生兒狀況。結果觀察組第一產程短于對照組,剖宮產率低于對照組,無痛、輕度疼痛的患者比例高于對照組,兩組差異有統計學意義(P<0.05);兩組第二產程,產後齣血量,新生兒1min、5min、10min Apgar評分,胎兒窘迫髮生率,新生兒窒息髮生率與對照組比較差異無統計學意義(P>0.05)。結論囉哌卡因複閤芬太尼在無痛分娩中效果顯著,可縮短第一產程,緩解產婦的疼痛感覺,降低剖宮產率,對產婦及胎兒無不良影響。
목적:탐토라고잡인복합분태니재무통분면중대모영적영향。방법선택2013년10월~2014년10월재아원산과분면적산부146례。기중관찰조73례접수라고잡인복합분태니경막외진통,대조조73례불접수분면진통,비교량조산정、산후출혈량、부궁산례수、동통정도、태인급신생인상황。결과관찰조제일산정단우대조조,부궁산솔저우대조조,무통、경도동통적환자비례고우대조조,량조차이유통계학의의(P<0.05);량조제이산정,산후출혈량,신생인1min、5min、10min Apgar평분,태인군박발생솔,신생인질식발생솔여대조조비교차이무통계학의의(P>0.05)。결론라고잡인복합분태니재무통분면중효과현저,가축단제일산정,완해산부적동통감각,강저부궁산솔,대산부급태인무불량영향。
Objective To investigate the influence of maternal-infant in painless childbirth treated with ropivacaine combined with fentanyl. Methods 146 cases with maternal obstetric deliveries were collected from Oct 2013 to Oct 2014 in our hospital. 73 cases in the observation group accepted ropivacaine epidural analgesia with fentanyl , 73 cases in the control group did not accept analgesia. The labor,postpartum hemorrhage, cesarean production number of patients, pain relief degree, fetal and neonatal conditions of two group were compared. Results The first stage of the observation group was shorter than the control group; the cesarean section rate was lower than the control group; the proportion of painless and mild pain of the observation group were higher than the control group; the difference was significant (P<0.05). Two second stage of labor, post-partum hemorrhage, neonatal 1min, 5min, 10min Apgar score, fetal distress, asphyxia incidence of the observation group compared with control group showed no significant difference (P>0.05). Conclusion Ropivacaine combined with fentanyl in painless childbirth has significant effect, it can shorten the first stage of labor, ease maternal feeling pain, reduce the cesarean section rate, has no adverse effects on maternal-infant.