硬膜外腔注射罗哌卡因芬太尼混合液用于分娩镇痛

目的观察罗哌卡因-芬太尼用于分娩镇痛的临床效果.方法自愿接受分娩镇痛和无产科及无麻醉禁忌证的足月孕初产妇30例.全部采用硬膜外腔微量输液泵持续输注分娩镇痛法.在产妇宫口开至2.0～3.0 cm时,进行硬膜外操作.选择L2～3间隙穿刺,注入0.2%罗哌卡因5.0 mL实验量,待试出评面后继续追加5.0～10.0 mL,平面固定后接输液泵,输注0.1%罗哌卡因与2 μg/mL芬太尼混合液,按24 mL/h持续泵入.于宫口开至8.0 cm左右停泵.结果成功率达100%,镇痛有效率100%.宫缩时剧烈难忍的疼痛转为基本无痛或可以忍受的轻微胀痛.疼痛缓解十分明显.结论罗哌卡因-芬太尼混合液用于分娩镇痛.可有效地降低剖宫产率,增强自然分娩率,减少因疼痛刺激产生的不良反应.对母亲安全有益,对胎儿无影响.

Analgesia during Delivery with Injeciton of Mixed Ropivacaine and Fentanyl via Epidural Anesthesia

Objective To observe the analgesia effect in clinic of injection of mixed ropivacaine and fentanyl via epidural anesthesia(EA) during delivery.Methods 30 cases volunteer who without contradiction primip were treated with this drug continuously in micro-infusion pump during delivery.The rovapicaine was given first to localized the level and the mixture was give from 2 cm to 8 cm of outlet of uterus.Results The successfulrate and analgesia rate were 100%.The imperative and intense contractive pain could be relieve to painless or tolerance pain obviously.Conclusion This mixture might relieve the pain during delivery to reduce the uterine-incision delivery and side effect due to imperative pain so that it might be safe both for mother and child.