罗哌卡因、布托啡诺自控硬膜外无痛分娩分析

目的探讨罗哌卡因、布托啡诺自控硬膜外镇痛（PCEA）用于分娩镇痛的效果及对分娩的影响。方法选择400例健康、单胎、足月临产初产妇，随机分为两组：治疗组（200例），采用罗哌卡因＋布托啡诺硬膜外腔给药用于分娩镇痛。对照组（200例），采用正常分娩方法。观察两组不同时段视觉模拟评分（VAS）和不良反应，同时记录两组产程时间、分娩方式、催产素使用情况、新生儿Apgar评分。结果治疗组VAS镇痛评分满意，两组在产程时间、分娩方式、新生儿Apgar评分差异均无统计学意义。结论罗哌卡因、布托啡诺PCEA用于分娩镇痛效果好，对母婴无不良反应。

The effects of butorphanol and ropivacaine on patient controlled epidural analgesia during painless labor

Objective To investigate the effect of butorphanol and ropivaeaine on patient controlled epidural analgesia（PECA） during painless labor. Methods 400 healthy, singleton and full-term primigravidas were selected. They are divided into analgesic group and control group randomly（200 in each group）. The former was given ropivaeaine and butorphanol for labor pain relief and the later was managed in routine methods. The visual analog scales（VAS） and side effects were observed during labor. Meanwhile, the phase of labor, mode of delivery, usage of oxytoein and the neonatal Apgar score of two groups were also be recorded. Results The analgesic group showed obvious pain-relieving effect and satisfied VAS compared with the control group. However, the phase of labor, mode of delivery and neonatal Apgar score were not significantly different （P 〉 0.05 ） between two groups. Conclusion The PECA of butorphanol and ropivacaine is effective and convenient for pain relief during labor, and showed no any side-effects on both mother and fetus.