经产妇硬膜外自控分娩镇痛的临床观察

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1、经产妇硬膜外自控分娩镇痛的临床观察［摘要］目的探讨硬膜外自控镇痛(patient-controlledepiduralanesthesia,PCEA)用于经产妇分娩镇痛对产程、产痛和新生儿的影响。方法选取自愿接受分娩镇痛的经产妇60例作为观察组，采用0.1%罗哌卡因+0.5Ug/mL舒芬太尼自控硬膜外镇痛(PCEA);选取同期入院未加任何镇痛干预的自然分娩经产妇60例作为对照组。比较两组产妇产程时间、新生儿脐动脉血血气分析、新生儿Apgar评分、产妇疼痛视觉模拟评分(VAS)o结果两组产程时间比较差异无统计学意义；两组新生儿脐动脉血血气分析指标测定值均在

2、正常值范围，两组比较差异无统计学意义；新也儿出也后1、5minApgar评分均为10分，两组比较差异无统计学意义。观察组镇痛前、后VAS差异有显著统计学意义?vP〈0.01?w;观察组第一产程、第二产程VAS与对照组比较差异存统计学意义?vP〈0.01?w。结论罗哌卡因复合舒芬太尼可以安全有效地用于经产妇分娩镇痛，对产程时间、新生儿脐动脉血气分析、新也儿Apgar评分无明显影响。本文采集自网络，本站发布的论文均是优质论文，供学和研宄使用，文中立场与本网站无关，版权和著作权归原作者所有，如有不愿意被转载的情况，请通知我们删除匕转载的信息，如果需要分享，请保

3、留本段说明。［关键词］经产妇；分娩镇痛；硬膜外；罗哌卡因［中图分类号］R714.3［文献标识码］B［文章编号］1673-9701(2017)18-0105-03Clinicalobservationofpatient—controlledepiduralanalgesiaforlaborofmultiparasHEShujunZHANGJuanLEIBoGUOMinDepartmentofAnesthesiology,BeijingHaidianMaternal&ChildHealthHospital,Beijing100080,China［Abstra

4、ct］ObjectiveToinvestigatetheeffectofpatient-controlledepiduralanesthesiaforthelaborofmultiparasonthelabor，painandnewborns.Methods60multiparaswhovoluntarilyacceptedlaboranalgesiawereselectedastheobservationgroup,and0.1%ropivacainc+0.5ug/mLsufentanilpatient-controlledepiduralanalge

5、sia(PCEA)wasused.60casesofmultiparaswhounderwentthenaturaldeliverywithoutconcurrentanalgesiainterventioninthesameperiodwerechosenasthecontrolgroup.Thelabortime,neonatalumbilicalarterialbloodgasanalysis,neonatalApgarscore,maternalpainvisualanaloguescore(VAS)werecomparedbetweenthet

6、wogroups.ResultsTherewasnosignificantdifferenceinthelabortimebetweenthetwogroups.Theneonatalumbilicalarterybloodgasanalysisindicatorsmeasuredwereinthenormalrangeinthetwogroups,andtherewasnosignificantdifferencebetweenthetwogroups(P>0.05).TheApgarscoreswas10pointsat1minuteand5minu

7、tesafterbirth,andthedifferencebetweenthetwogroupswasnotstatisticallysignificant.TherewassignificantdifferenceinVASbeforeandafteranalgesiaintheobservationgroup(P<0.01).ThereweresignificantdifferencesintheVASofthefirstandthesecondstageoflaborbetweentheobservationgroupandthecontrolg

8、roup(P<0.01).ConclusionRopivacainecombin