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《罗哌卡因复合芬太尼或喷他佐辛用于分娩镇痛的效果观察》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。
1、.....罗哌卡因复合芬太尼或喷他佐辛用于分娩镇痛的效果观察戴大军徐卫力潘朝荣余静平作者单位：330400江西省德安县中医院【摘要】目的研究低浓度罗哌卡因复合芬太尼或喷他佐辛用于分娩镇痛的效果和并发症。方法选择1200例足月，单胎，头位初产妇，，随机分为三组，镇痛药配方为：F组0.1%盐酸罗哌卡因+1μg/ml芬太尼，P组0.1%盐酸罗哌卡因+0.3mg/ml喷他佐辛，C组为对照组。在宫口开到3cm时行硬膜外镇痛，镇痛组记录镇痛前5min，镇痛后10min，镇痛后30min，宫口开全时，会阴修补时VAS和改良Broma
2、ge评分，对照组记录宫口开大3cm，宫口开全，会阴修补时的VAS和改良Bromage评分。记录所有产妇的第一产程活跃期，第二产程和第三产程时间，镇痛后30min血压较镇痛前基础血压下降值（mmHg），催产素使用率，中转剖宫产率，器械助产率，胎儿娩出后2小时阴道出血量。结果F组和P组镇痛后10min，镇痛后30min，宫口开全时，会阴修补时VAS评分明显低于C组，F组和P组第一产程活跃期，第二产程时间短于C组，F组和P组催产素使用率高于C组，中转剖宫产率低于C组，器械助产率和胎儿娩出后2小时阴道出血量与C组比较无统计学意
3、义。结论硬膜外低浓度罗哌卡因复合芬太尼或喷他佐辛镇痛效果显著，不影响下肢肌力，不增加产后出血量和器械助产率，且可以缩短产程，降低剖宫产率，均可以安全地用于分娩镇痛，适合基层医院开展应用。【关键词】罗哌卡因；芬太尼；喷他佐辛；分娩镇痛；并发症RopivacainecombinedwithfentanylorpentazocineonlaboranalgesiaeffectDaiDajunXuWeiliPanChaorongYuJingpingAuthor:330400JiangxiProvinceChinesemedic
4、inehospitaldeanCounty学习参考.....【Abstract】ObjectiveStudyoflowconcentrationropivacainecombinedwithfentanylandpentazocineforanalgesiaeffectandcomplications.Method1200casesoffull-term,singleton,cephalicprimipara,dividedforthreegroups,analgesicformula:GroupF0.1%ropiva
5、cainehydrochloride+1g/mlfentanyl,dezocinehisgroupP0.1%ropivacainehydrochloride+0.3mg/mlspray,Cgroupasthecontrolgroup.Drivetoa3cmepidemicepiduralanalgesiainthepalacemouth,analgesiagroupofanalgesicswasrecorded5minbefore,painafter10min,30minafteranalgesia,palacemou
6、thfull,repairofperinealvasandmodifiedBromagescore,recordedinthecontrolspalacemouthopenbig3cm,palacemouthfull,perinealrepairofvasandmodifiedBromagescore.Recordallmaternalfirstactiveperiod,thesecondstageoflaborandthelabortime,analgesiaafter30minbloodpressurecompar
7、edtotheanalgesiaofdecreasevalueofbloodpressure(mmHg,oxytocinusage,transferrateofcesareansection,instrumentaldeliveryrate,afterthedeliveryofthefetus2hoursofvaginalbleeding.ResultsFgroupandPgroupanalgesiaafter10min,30minafteranalgesia,palacemouthopenall,repairofpe
8、rinealVASscorewassignificantlylowerthanthatofgroupC,groupFandpthefirststagesoftheactivephaseandthesecondstageoflabortimeshorterthanthatingroupC,FgroupandPgroupoxytoci
