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盐酸罗哌卡因腰-硬膜外联合麻醉对分娩结局的影响
引用本文:陈蓉,林传尧,崔艳梅,徐巍,纪秀娟. 盐酸罗哌卡因腰-硬膜外联合麻醉对分娩结局的影响[J]. 中国药房, 2011, 0(36): 3402-3403
作者姓名:陈蓉  林传尧  崔艳梅  徐巍  纪秀娟
作者单位:哈尔滨第242医院妇产科;
摘    要:
目的:探讨应用盐酸罗哌卡因腰-硬膜外联合麻醉(CSEA)对分娩结局的影响。方法:将200例无妊娠合并症、并发症的初产妇,按自愿原则均分为对照组和观察组。对照组按产科常规处理,生产过程中不给予任何镇痛药物;观察组于生产过程中应用盐酸罗哌卡因行CSEA镇痛。按世界卫生组织疼痛分级评估镇痛效果,同时比较2组的分娩方式、新生儿窒息发生率等的差异。结果:观察组的疼痛程度显著低于对照组(P<0.01);催产素使用率高于对照组(P<0.05);器械助产率与对照组比较无显著性差异(P>0.05);新生儿窒息发生率和剖宫产率均明显低于对照组(P<0.01)。结论:盐酸罗哌卡因CSEA用于分娩镇痛,可有效减轻产妇的疼痛感,降低新生儿窒息发生率和剖宫产率。

关 键 词:盐酸罗哌卡因  腰-硬膜外联合麻醉  分娩  镇痛

Effects of Combined Spinal-epidural Anesthesia with Ropivacaine Hydrochloride on the Outcomes of Delivery
CHEN Rong,LIN Chuan-yao,CUI Yan-mei,XU Wei,JI Xiu-juan. Effects of Combined Spinal-epidural Anesthesia with Ropivacaine Hydrochloride on the Outcomes of Delivery[J]. China Pharmacy, 2011, 0(36): 3402-3403
Authors:CHEN Rong  LIN Chuan-yao  CUI Yan-mei  XU Wei  JI Xiu-juan
Affiliation:CHEN Rong,LIN Chuan-yao,CUI Yan-mei,XU Wei,JI Xiu-juan(Dept.of Obstetrics and Gynecology,Harbin No.242 Hospital,Harbin 150060,China)
Abstract:
OBJECTIVE:To investigate effects of combined spinal-epidural anesthesia(CSEA) with ropivacaine hydrochloride on the outcomes of delivery.METHODS:200 primiparas without complication of pregnancy were divided into control group and observation group,with 100 cases in each group.Primiparas in the control group underwent the normal process and received no drug injection,while primiparas in the observation group received CSEA with ropivacaine for analgesia.We evaluated the analgesia effect according to pain grad...
Keywords:Ropivacaine hydrochloride  Combined spinal-epidural anesthesia  Delivery  Analgesia  
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