罗哌卡因复合芬太尼自控硬膜外镇痛结合拉玛泽减痛法用于分娩镇痛的临床观察

目的 探讨自控硬膜外阻滞麻醉用于分娩镇痛的效果.方法 将采取低浓度连续硬膜外自控泵结合拉马泽减痛法的分娩镇痛组92例作为观察组,只采用拉马泽减痛法而进入产程的产妇85例作为对照组.分别观察产痛程度、产程时间、分娩方式、缩宫素使用率、产后出血量及对新生儿状况的影响.结果 硬膜外注药10 min后和观察组VAS评分明显低于对照组（P＜0.05）;观察组比对照组在活跃期、第二产程及总产程上明显缩短（P＜0.05）.结论自控硬膜外阻滞麻醉结合拉马泽减痛法用于分娩镇痛,疼痛阻滞效果好,缩短了产程活跃期和第二产程时间,加速了产程进展,减少了产妇的体力消耗,从而增加了阴道分娩率,降低了剖宫产率,且对母婴无明显影响.

A Clinical Observation on Ropivacaine with Fentanyl-controlled Epidural Analgesia Combined with Lamaze Pain Relief Method for Labor Analgesia

Objective To explore the effects of continuous epidural anesthesia on labor analgesi- a.Methods The 92 cases in the observation group was treated with low concentrations of contin- uous epidural blockade anesthesia combined with LaMaze pain relief method, while the 85 cases in the control group was treated only with LaMaze pain relief method. Then observed were the labor pain level, the labor time, the mode of delivery, the utilization rate of oxytocin, the a- mount of postpartum bleeding and influence on newborn.Results The VAS scores in the obser- vation group were significantly lower than those in the control group （P〈O. 05） 10 min after epidural injection. The time of active stage, the second stage and total stage of labor in the obser- vationg roup was significantly shorter than that in the control group （P〈0.05）.Conclusion Epi- dural anesthesia combined with LaMaze pain relief method is better than using LaMaze pain re- lief method only for analgesia in labor. The effect of pain block is reliable. It shortened the time of the birth process of active period and second stage of labor, accelerated the progress of la- bor, and reduced the maternal physical exertion. Thus it increased the vaginal delivery rate and reduced the cesarean section and vaginal dystocia rate. In addition, it has no significant influ- ence on both maternal and child.