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罗哌卡因或左布比卡因复合舒芬太尼用于分娩镇痛的临床比较

李翠林 吴娅 张小梅

昆明医科大学学报2013,Vol.34Issue(2):123-125,3.
昆明医科大学学报2013,Vol.34Issue(2):123-125,3.

罗哌卡因或左布比卡因复合舒芬太尼用于分娩镇痛的临床比较

Comparison of ropivacaine or levobupivacaine combined with sufentanil on epidural laboring analgesia

李翠林 1吴娅 1张小梅1

作者信息

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摘要

Abstract

Objective To examine the effects of ropivacaine or levobupivacaine combined with sufentanil on epidural laboring analgesia. Methods 300 primiparous parturients were divided randomly into 2 groups: ropivacaine group and levobupivacaine group. The pain intensity was measured by visual analog scale and the degree of motor block was examined by Modified Bromaga Score using a prospective double-blind design. The labor duration and delivery types were recorded. The neonate was investigated by Apgar index. Umbilical cord artery blood gas analysis was also performed. Results The analgesia effects of ropivacaine are same as levobupivacaine. There are no differences in labor duration, delivery types and Apgar index. The BE-B of umbilical cord artery blood gas in ropivacaine group is significantly lower than that in levobupivacaine group. Conclusion Ropivacaine and levobupivacaine could provide the same analgesia effects. Considering the lower toxic effects, ropivacaine is better than levobupivacaine in the treatment of laboring analgesia.

关键词

罗哌卡因/左布比卡因/分娩/镇痛

Key words

Ropivacaine/ Levobupivacaine/ Labor/ Analgesia

分类

医药卫生

引用本文复制引用

李翠林,吴娅,张小梅..罗哌卡因或左布比卡因复合舒芬太尼用于分娩镇痛的临床比较[J].昆明医科大学学报,2013,34(2):123-125,3.

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