罗哌卡因与芬太尼分娩镇痛对母婴影响的分析(1)
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[摘要] 目的 探讨罗哌卡因与芬太尼用于分娩镇痛对母婴的影响。 方法 选择45例患者单纯使用0.2%盐酸罗哌卡因进行分娩镇痛(对照组)，并与45例使用0.1%的盐酸罗哌卡因+1.5 μg/mL的芬太尼患者(观察组)比较两组产妇产程情况以及统计两组新生儿的Apgar评分。 结果 观察组活跃期显著短于对照组(P < 0.05)，同时两组产妇第二产程时间差异无统计学意义(P > 0.05)，观察组产妇新生儿出生时、出生后1 min和出生后5 min Apgar评分均显著高于对照组(P < 0.05)。 结论 罗哌卡因联合芬太尼用于分娩镇痛，几乎不影响产妇产程，且对胎儿抑制小，可作为一种值得临床推广的方法。
[关键词] 罗哌卡因；芬太尼；分娩镇痛；母婴影响
[中图分类号] R614 [文献标识码] A [文章编号] 1674—4721(2012)09(c)—0084—02
Analysis of ropivacaine and fentanyl for labor analgesia on maternal—fetal impact
PENG Shuwei
Anesthesiology Department， the Fifth People''s Hospital of Wanzhou District of Chongqing City， Chongqing 404020， China
[Abstract] Objective To analyze the ropivacaine and fentanyl for labor analgesia on maternal—fetal impact. Methods Forty—five cases of patients were selected as control group and used 0.2% ropivacaine hydrochloride for analgesia during labor， and 45 patients used 0.1% ropivacaine hydrochloride + 1.5 μg/mL fentanyl as observation group， patient with labor and neonatal Apgar score of two groups were compared. Results In the observation group active stage was significantly shorter than that of control group (P < 0.05)， and two groups of women during the second stage of labor time had no statistically significant difference (P > 0.05)， the observation group in maternal neonatal birth， born after 1 min and after the birth of the 5 min Apgar score were significantly higher than those of control group (P < 0.05). Conclusion Ropivacaine combined with fentanyl for labor analgesia， almost not affect on maternal and fetal birth process， inhibition of small， so it can be used as a worthy of clinical application methods.
[Key words] Ropivacaine； Fentanyl； Labor analgesia； Maternal—fetal impact ......
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