中国妇幼健康研究2017，Vol.28Issue(7)：880-882,3.DOI:10.3969/j.issn.1673-5293.2017.07.042
罗哌卡因复合芬太尼硬膜外阻滞用于分娩镇痛的效果观察
Clinical effect observation of ropivacaine combining fentanyl for epidural anesthesia on labor analgesia
摘要
Abstract
Objective To study the effect of fentanyl added to ropivacaine for epidural anesthesia on active labor and maternal and neonatal outcomes.Methods Single full-term pregnant women hospitalized in Xinjiang Shihezi Maternal and Children''s Health Care Hospital from January 2013 to December 2016 were selected and divided into two groups,345 cases with labor analgesia in observation group and 776 cases with usual delivery in control group.Results The NRS scores in each time point in the observation group was lower than that in the control group, and there was statistical difference between two groups (χ2 value was-3.255,-6.135,-5.219,-7.139 and-7.107, respectively, all P<0.05).No significant difference was found between two groups in active phase, the second stage of labor, newborn Apgar scoring and amount of bleeding(t value was 0.298,-0.375, 0.189 and 0.693, respectively, all P>0.05).The oxytocin utilization rate in the observation group was higher than that in the control group (χ2=37.921, P<0.05), but the cesarean section rate was lower (χ2=37.921, P<0.05).Conclusion Ropivacaine combining fentanyl for epidural anesthesia in active labor can relieve labor pain and reduce cesarean delivery rate without extending labor stage.It is safe for pregnant women and neonates and worthy of promotion.关键词
罗哌卡因复合芬太尼/硬膜外阻滞/分娩镇痛/效果观察Key words
ropivacaine combining fentanyl/epidural anesthesia/labor analgesia/effect observation分类
医药卫生引用本文复制引用
王永琴,魏兴武,刘燕,迪丽努尔·吾甫尔,逯金祥..罗哌卡因复合芬太尼硬膜外阻滞用于分娩镇痛的效果观察[J].中国妇幼健康研究,2017,28(7):880-882,3.基金项目
新疆兵团第八师人才专项基金资助项目(20161505) （20161505）
新疆兵团第八师科技计划资助项目(2016HZ33) （2016HZ33）
