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甲磺酸罗哌卡因硬膜外规律间断注射在分娩镇痛中的应用

彭永保 胡松权 周群 程良道

实用医学杂志Issue(16):2643-2645,3.
实用医学杂志Issue(16):2643-2645,3.DOI:10.3969/j.issn.1006-5725.2014.16.038

甲磺酸罗哌卡因硬膜外规律间断注射在分娩镇痛中的应用

The application of mesylate ropivacaine programmed intermittent epidural injection for labor analgesia

彭永保 1胡松权 1周群 1程良道1

作者信息

  • 1. 330006 南昌市,江西省妇幼保健院麻醉科
  • 折叠

摘要

Abstract

Objective To study the effect of mesylate ropivacaine programmed intermittent epidural injection for labor analgesia. Method 100 cases of ASA I or II single cephalic term primiparae , randomly divided into epidural rules intermittent administration group (Group A) and continuous epidural infusion group (Group B), 50 cases of each group. Two groups were treated with 0.12%mesylate ropivacaine and 2 μg/mL fentanyl. The two groups were observed in different stage of labor , uterine contraction analgesic effect , mode of delivery , fetal distress and neonatal asphyxia. Result Compared with Group B, the VAS scores of women in Group A were decreased significantly and the difference was statistically significant (P < 0.05) after they had the labor analgesia 60min later, the mouth of the uterus opened to 5-6cm and all. There is no statistical significance in the mode of delivery and Apgar score. Conclusion Ropicacaine mesilate epidural programmed intermittent bolus are safe and effective for labor analgesia. Compared with continuous epidural infusion analgesia in labor , maternal satisfaction is higher and there is no significant adverse effects on mother and infant.

关键词

分娩镇痛/甲磺酸罗哌卡因/硬膜外阻滞/间断注射

Key words

Labor analgesia/Mesylate ropivacaine/Epidural block/Intermittent injection

引用本文复制引用

彭永保,胡松权,周群,程良道..甲磺酸罗哌卡因硬膜外规律间断注射在分娩镇痛中的应用[J].实用医学杂志,2014,(16):2643-2645,3.

基金项目

江西省卫生厅基金资助项目 ()

实用医学杂志

OA北大核心CSTPCD

1006-5725

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