摘要
Abstract
Objective To investigate the efficacy and maternal and child safety impact of ropivacaine spinal an-esthesia for labor analgesia .Methods 100 cases of patients from our hospital with voluntarily painless vaginal deliv-ery of a full-term pregnancy ,without spinal anesthesia operation contraindication ,single fetal head position were se-lected as the observation group ,which accepted 1 mg/mL ropivacaine+0 .5 μg/mL combined spinal anesthesia to an-algesic during delivery process ,at the same time the other 100 cases without any analgesia measure were selected as the control group ,two groups of patients with the analgesic effect of ,labor ,maternal muscle strength of lower limbs , the outcome of delivery were compered .Results In the observation group the maternal pain VAS score were signifi-cantly lower than those in the control group 10 minutes after anesthesia to the palace mouth open (P<0 .05);There was no significant difference between the two groups on Maternal labor ,postpartum hemorrhage and neonatal as-phyxia ,neonatal Apgar score ,oxytocin usage ,lower extremity muscle strength and other maternal(P>0 .05);obser-vation group cesarean section the yield was lower than that in the control group (P<0 .05);After analgesia ,there was no significant changes on maternal vital signs and oxygen saturation in the observation group compared with pre anal-gesia(P>0 .05) .Conclusion The analgesic effect of ropivacaine for combined spinal epidural block anesthesia on va-ginal delivery mothers were significantly reduced ,and the rate of cesarean section ,and does not increase maternal fetal safety hidden danger ,is worth the clinical promotion .关键词
母婴安全/分娩镇痛/罗哌卡因/腰硬联合阻滞麻醉Key words
maternal and fetal safety/labor analgesia/ropivacaine/combined spinal anesthesia
