摘要
目的观察不同浓度甲磺酸罗哌卡因硬膜外镇痛结合拉玛泽减痛法用于患者分娩镇痛效果的临床观察。方法 90例ASA I~Ⅱ级择期自愿要求无痛分娩的孕妇,随机分为0.250%罗哌卡因组（A组）,0.200%罗哌卡因组（B组）和0.125%罗哌卡因组（C组）,每组各30例。结果 A、B组镇痛效果优级率显著高于C组,差异有统计学意义（P〈0.05）。孕妇于36周开始在产科门诊接受拉玛泽呼吸法培训指导,由一名亲属陪同培训。结论 0.200%甲磺酸罗哌卡因用于持续硬膜外阻滞结合拉玛泽法分娩镇痛效果显著,能缩短产程,提高自然分娩率,能提供较满意的分娩镇痛,效果确切,并且对运动影响很小,比较适合临床应用。
Objective To observe effects of the different concentrations of ropivacaine mesylate in epidural pain relief with Lamaze method for labor analgesia in patients.Methods90 patients ASA I ~ Ⅱ elective painless delivery of pregnant women who wanted to randomly assigned to 0.250% ropivacaine group（A group）,0.200% ropivacaine group（B group） and 0.125% ropivacaine for group（C group）,30 patients in each group.ResultsAnalgesic effect on A,B group was significantly higher than C group,the difference was with statistically significant（P0.05）.Accompanied by a relative,the pregnant women at 36 weeks took in the obstetrical outpatient Lamaze breathing training and guidance.Conclusion0.200% ropivacaine mesylate in epidural anesthesia for labor analgesia with Lamaze method significantly shorten labor,improve the natural birth rate,can provide satisfactory analgesia,the exact effect,and little effect on the campaign,more suitable for clinical application.
出处
《中国煤炭工业医学杂志》
2011年第3期328-329,共2页
Chinese Journal of Coal Industry Medicine
