不同浓度罗哌卡因应用于分娩镇痛的临床观察-医学信息.PDF

物与临床 学信息2019 年1 月第32 卷第2 期 Medical Information Jan. 2019 Vol. 32 No.2 同浓度罗哌卡因应用于分娩镇痛的临床观察 王振山 李艳丽 李晓娟 张金山 渊天津市第一医院麻醉科 天津 300232冤 摘要 目的 观察不同浓度的罗哌卡因联合少量芬太尼用于分娩镇痛的临床效果遥 方法 将120 例拟行硬膜外分娩镇痛的初产 妇作为研究对象 采用随机数字表法分为A尧B尧C尧D 4 个组 每组30 例 硬膜外麻醉分别给予0.075%尧0.1%尧0.125%尧0.15%盐酸 罗哌卡因+1 g/ml 芬太尼进行镇痛 比较各组产妇的镇痛有效率 第一尧二产程时间尧运动阻滞评分以 不良反应等指标遥结果 4 组产妇分娩镇痛效果良好 A尧B尧C尧D 组产妇镇痛有效率分别为70.00%尧83.33%尧86.67%尧90.00% B尧C尧D 组高于A 组 渊 0.05冤 D 组有1 例发生运动阻滞渊Bromage 评分为1 分冤遥 结论 硬膜外分娩镇痛采用0.1%~0.15%罗哌卡因复合1 g/ml 芬太尼 能够为产妇提供安全可靠的分娩镇痛遥 关键词 分娩镇痛曰硬膜外曰盐酸罗哌卡因曰芬太尼 中图分类号 R714.3 曰R614 文献标识码 A DOI:10.3969/j .issn.1006-1959.2019.02.046 文章编号 1006-1959渊2019冤02-0154-03 Clinical Observation of Different Concentrations of Ropivacaine for Labor Analgesia WANG Zhen-shan,LI Yan-li,LI Xiao-j uan,ZHANG Jin-shan (Department of Anesthesiology,Tianji n First Hospital,Tianji n 300232,China) Abstract ：Obj ective To observe the clinical effects of different concentrations of ropivacaine combined with a small amount of fentanyl for labor analgesia. Methods 120 primiparas who had undergone epidural labor analgesia were selected as subj ects. They were divided into four groups: A, B, C and D by random number table. 30 cases in each group and 0.075% in epidural anesthesia. 0.1% , 0.125% , 0.15% ropivacaine hydrochloride +1 g/ml fentanyl for analgesia, compare the analgesic efficiency of the women in each group, the first and second labor time, exercise retardation score. Results The analgesic effect of labor in 4 groups was good. The effective rates of maternal analgesia in group A, B, C and D were 70.00%, 83.33%, 86.67% and 90.00%, respectively. Groups B, C and D were higher than group A ( 0.05), 1 patient in group D had motor block (