国际医药卫生导报2012，Vol.18Issue(4)：445-447,3.DOI:10.3760/cma.j.issn.1007-1245.2012.04.001
罗哌卡因复合舒芬太尼硬膜外分娩镇痛对胎方位影响的研究
The effect of Epidural Analgeisa With Ropivacaine Plus Sufentanil on the Fetal Position Duing Labor
摘要
Abstract
Objective To investigate the effect of epidural analgesia with ropivacaine plus sufentanil on the fetal position during labor.Methods Women were eligible for enrollment if they were ASA Ⅰ ～ Ⅱ,nulliparous and undergoing a spontaneous labor at term (≥ 37 weeks of gestation ) with a live,singleton fetus in the occiput anterior position.400 women in active labor (cervical dilatation =3 cm) who requested labor analgesia were in epidural analgesia group (group B).Other 400 women who did not receive labor analgesia were in the control group (group C).Women in group B received a test dose of 5 ml of 0.1％ ropivacaine with 0.8 μ g/ml-1 sufentainl.When correct placement of epidural catheter was confirmed after 5 mins another 5 ml was given.30 mins after the first dose was given,the epidural cather was connected to the patient controlled epidural analgesia (PCEA) pump.The PCEA solution contained 0.1％ ropivacaine and sufentanil 0.3 μ g/ml-1.The PCEA pump was set up with a bolus of 6 ml and lockout interval of 15 mins.The following were recorded:① the fetal position before and after delivery; ② pain intensity was assessed using VAS (0-10); ③ mode of delivery; ④ labor process; ⑤ the amount of oxytocin.Results No statistically significant difference was found in the incidence of fetal head malposition and caesarean section in group C and in goup B (14.75 ％ VS 11.75％,15.50％ VS 14.75％,P ＞ 0.05).Conclusions Epidural analgesia with ropivacaine plus sufentanil did not increase the incidence of fetal head malposition.关键词
罗哌卡因/舒芬太尼/硬膜外/分娩/胎方位Key words
Ropivacaine/Sufentanil/Epidural analgesia/Fetal position/Labor引用本文复制引用
陈祥楠,胡祖荣,黄希照,罗辉,黎昆伟,贾杰..罗哌卡因复合舒芬太尼硬膜外分娩镇痛对胎方位影响的研究[J].国际医药卫生导报,2012,18(4):445-447,3.基金项目
广东省科技厅基金(2009B080701052) （2009B080701052）
