河南医科大学学报2001，Vol.36Issue(1)：21-23,3.
罗哌卡因硬膜外滴注分娩镇痛效果及对母儿的影响
Epidural ropivacaine for labor analgesia
摘要
Abstract
To study the effectiveness of epidural ropivacaine for laboranalgesia and its influences on both mothers andinfants. Methods: A total of 42 nullipara women were randomly divided into three groups: Rop group(22 cases) received 2 g/Lropivacaine with flow velocity of 5mL/h epidural continuous infusion. Bup group (20 cases) received 1.25 g/L bupivacaine plusfentanil 3～5 mg/L-2.5 ml/h epidural continuous infusion. The control group(30 cases) was not given any analgesia. Results:The analgesic effectiveness in two groups was snnilar ( P > 0. 05). The effectiveness rates of analgesia in Rop and Bup groups were90.9 % and 90.0% respectively, which were significantly higher than that of control group ( P < 0.05). The labor course of Bupgroup was significantly longer ( P < 0.05) and the cesarean section rate was higher ( P < 0.05). There was no significant differ-ence in the duration of active phrase and in the second stage of labor between the Rop group and control group ( P > 0.05). Therate of spontaneous delivery in Rop group was 77.2%, which had no significant difference compared with that in the control group(P > 0.05). Conclusion: Ropivacaine and bupivacaine have similar effectiveness for labor analgesia, but ropivacaine has lessside effect. It is safe for both mothers and infants in analgesia.关键词
分娩/镇痛/罗哌卡因/硬膜外阻滞分类
社会科学引用本文复制引用
姜丽华,邱林,程国梅,张曦..罗哌卡因硬膜外滴注分娩镇痛效果及对母儿的影响[J].河南医科大学学报,2001,36(1):21-23,3.基金项目
河南省科技攻关基金资助项目 97l20023l （）
