摘要
目的:探讨罗哌卡因复合少量芬太尼硬膜外麻醉用于分娩镇痛的效果。方法:将400例产妇随机分为观察组与对照组各200例。观察组产妇自愿接受硬膜外麻醉镇痛分娩,对照组产妇未选择镇痛分娩。结果:与对照组产妇比较,观察组产妇分娩疼痛更轻(P<0.01),第一产程更短(P<0.05),产程进展更快。两组新生儿出生5 min Apgar评分、产妇产后出血情况比较差异无统计学意义(P>0.05)。结论:罗哌卡因复合少量芬太尼硬膜外麻醉用于分娩镇痛效果明显,可缩短产程时间,对产妇和新生儿无不良影响。细心的观察和护理可保证镇痛分娩的安全性。
Objective：To explore the effect of Ropivacaine with a small amount of Fentanyl in epidural anesthesia on labor analgesia . Methods：400 parturient were randomly divided into the observation group and the control group （200 parturient in each group ） .The partu-rient in the observation group voluntarily accepted the painless labor under epidural anesthesia and the parturient in the control group did not choose labor analgesia .Results：The labor pain of parturient in the observation group was lighter than that of the parturient in the control group （P〈0.01）;the first stage was shorter and birth process progressed faster in the observation group （P〈0.05）;there were not sta-tistically significant differences in the comparison of 5-minute Apgar score of newborn after childbirth and postpartum bleeding of puerper -ant between the two groups （P〉0.05）.Conclusion：The effect of Ropivacaine with a small amount of Fentanyl in epidural anesthesia on labor analgesia is obvious;this kind of analgesia can shorten the time of birth process and has no adverse effects on puerperant and new -born.Careful observation and nursing care can ensure the safety of painless labor .
出处
《齐鲁护理杂志》
2014年第4期25-27,共3页
Journal of Qilu Nursing
关键词
无痛分娩
罗哌卡因
芬太尼
硬膜外麻醉
护理
Painless labor
Ropivacaine
Fentanyl
Epidural anesthesia
Nursing
