罗哌卡因复合小剂量芬太尼硬膜外神经阻滞用于分娩镇痛的临床研究

目的探讨罗哌卡因复合小剂量芬太尼硬膜外神经阻滞用于分娩镇痛的，临床效果。方法抽取240例足月临产初产妇，随机分为镇痛组（n=120例）和无任何镇痛措施的对照组（n=120例），观察记录两组产妇的镇痛效果、产程、新生儿情况、缩宫素使用情况、分娩方式及产后出血量。结果两组的缩宫素使用、产后出血、新生儿窒息方面无显著性差异，而镇痛组活跃期较对照组缩短，疼痛程度和焦虑情绪比对照组明显减轻（p〈0．01），差异有统计学意义。结论罗哌卡因复合小剂量芬太尼连续硬膜外阻滞用于无痛分娩效果安全可靠，对母婴均无不良影响，且能明显促进产程进展，是目前较理想的分娩镇痛方法。

Clinical research of delivery analgesia with ropivacaine and minute dose of fentanyl

Objective To observe the cutative effect of painless delivery with ropivacaine and low dose of fentanyl. Methods 240 parturients with a vertex pregnany, were randomized into two groups （the analgesia group and the control group） with 120 in each group.Parturients＇ s pain degree,the time of laber,newborn Apgar scores,the information of use oxytocin, the modus of delivery and the volume of postpartum hemorrhage between two groups were observerd.Result There was not significant statistical differences between two groups in the information of use oxytocin ,the volume of postpartum hemorrhage and the new born Apgar scores compared with the control group,in analgesia group, the active stage of laber was decurated significantly,the degree of pain and the felling of anxious was mintigated obviously （p〈0.01）.Conclusion The way of delivery analgesia with ropivacaine and minute dose of fentanyl,can obviously promote the progressing of laber ,and had no influences on gravida and fetal,it＇s effect is safe and reliable.the way is an ideal delivery analgesia way now.