硬膜外麻醉用于分娩镇痛的临床研究

目的研究硬膜外麻在分娩镇痛的效果和安全性。方法研究组采用罗哌卡因、芬太尼硬膜外麻醉对100例产妇行分娩镇痛,对照组100例产妇未使用分娩镇痛药物进入产程的,比较两组产妇疼痛情况、产程时间、分娩方式、产后出血、胎儿窘迫、新生儿窒息情况。结果研究组的镇痛效果明显优于对照组(P<0.05),研究组的第一产程明显缩短(P<0.05),两组间的分娩方式以及产后出血、胎儿窘迫、新生儿窒息的发生率差异无统计学意义(P>0.05)。结论硬膜外麻醉用于分娩镇痛效果可靠,对母婴无不良影响。

The clinical research of epidural anesthesia for labor analgesia

Objective To investigate the effect and safety of epidural analgesia for labor analgesia.Methods 100 women undergoing delivery were selected as the experiment group and given epidural analgesia with Ropivacaine and Fentanyl,while another 100 women were selected as control group received nothing.The labor pain,labor process,mode of delivery,postpartum hemorrhage,rate of fetal distress and neonatal asphyxia of two groups were compared.Results The analgesic effect of experiment group was much better than that of control group(P < 0.05),the first stage of labor of experiment group was significantly shortened(P < 0.05),but there was no significant difference on labor process,mode of delivery,postpartum hemorrhage,rate of fetal distress and neonatal asphyxia between the two groups.Conclusion It is safe and effective to use epidural analgesia for labor analgesia.