摘要
目的观察2种不同镇痛模式应用于可行走性分娩镇痛第一产程潜伏期的效果。方法对120例自愿接受可行性分娩镇痛的产妇随机分为2组（n=60）：连续硬膜外镇痛组（A组），联合腰麻与硬膜外腔阻滞组（B组）。当产妇宫口开至1～2cm时，A组在硬膜外穿刺成功后接电子泵，持续输入0．15％罗哌卡因复合芬太尼1μg／ml：首次剂量8ml，维持量5ml／h，追加量3ml／次，间隔15min。B组腰麻注入0．15％罗哌卡因1．5mg，硬膜外持续泵入0．15％罗哌卡因复合芬太尼1斗∥ml，速度为3ml／h，追加量2ml／次，间隔15min。与未行分娩镇痛组（c组）对照，观察3组产妇镇痛效果、产程时间、产后出血率。结果与c组比较，A、B两组镇痛效果明显，第一产程缩短，应用催产素比例提高（P〈0．05）。结论2种镇痛方法能有效减轻产妇产程中的疼痛，缩短第一产程。
Objective To observe the clinical effects of two kinds of spinal anesthesia used in latent phase of the first stage of ambulatory labor analgesia. Methods 120 parturients who voluntarily accepted labor analgesia were randomly and equally divided into two groups（ A and B）. Patients in group A were treated with patient-controlled epidural analgesia （PCEA） for latent phase of the first stage of labor received 0.15% ropivacaine and 1 p,g/ml Fentanyl at loading of does 8 ml with the rate of 5 ml/h,add to 3 ml each time in 15 minutes. Those in group B were treated with spinal anesthesia： O. 15% ropivacaine 1.5 ml and received PCEA（ received O. 15% ropivacaine and 1 μg/ml Fentanyl at rate of 3 ml/h, add to 2 ml each time in 15 minutes. Results Compared with the control group C, significant analgesia effects in group A and group B （ P 〈 O. 05 ）, the first stage of labor in group A and group B were obviously shorter（ P 〈 O. 05 ）. Conclusion Two kinds of spinal anesthesia could relieve the pain of parturients effectively and had no negative effects.
出处
《中华全科医学》
2014年第5期758-759,共2页
Chinese Journal of General Practice
基金
广东省科技攻关项目基金(2012B031800183)
