地佐辛复合低浓度盐酸罗哌卡因硬膜外自控分娩镇痛在无痛分娩中应用效果

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英文篇名：Effect of dezocine combined with self-controlled epidural analgesia of ropivacaine hydrochloride at low concentration in painless labor 作者：张炜 ; 李应龙 英文作者：ZHANG Wei;LI Yinglong;Department of Surgical Anesthesiology,Shenhua Shendong General Hospital;Department of Anesthesiology,Fourth People's Hospital of Shaanxi Province; 关键词：地佐辛 ; 盐酸罗哌卡因 ; 硬膜外自控分娩镇痛 ; 无痛分娩 英文关键词：dezocine;;ropivacaine hydrochloride;;self-controlled epidural labor analgesia;;painless childbirth 中文刊名：XYZL 英文刊名：Journal of Clinical Medicine in Practice 机构：陕西省神华神东总医院手术麻醉科;陕西省第四人民医院麻醉科; 出版日期：2019-03-23 出版单位：实用临床医药杂志 年：2019 期：v.23 语种：中文; 页：XYZL201906033 页数：3 CN：06 ISSN：32-1697/R 分类号：126-128

摘要

目的探讨地佐辛复合低浓度盐酸罗哌卡因硬膜外自控分娩镇痛在无痛分娩中的应用效果。方法将本院收治的初产妇82例分为2组,对照组41例未行镇痛处理,观察组41例行地佐辛复合低浓度盐酸罗哌卡因硬膜外自控分娩镇痛。对比2组分娩情况。结果观察组患者疼痛程度(VAS)评分、产程时间均显著优于对照组(P <0. 05); 2组产妇产后出血量、新生儿1、5 min Apgar评分对比均无显著差异(P> 0. 05);观察组患者自然分娩率及催产素使用率均显著高于对照组(P <0. 05); 2组不良反应发生率无显著差异(P> 0. 05)。结论采用地佐辛复合低浓度盐酸罗哌卡因行硬膜外自控分娩镇痛可显著减轻产妇疼痛感,提高自然分娩率。
        Objective To investigate the effect of dezocine combined with self-controlled epidural analgesia of ropivacaine hydrochloride at low concentration in painless labor. Methods A total of 82 primiparas in our hospital were divided into two groups. The control group(n = 41) applied no analgesia,while the observation group(n = 41) was given dezocine combined with self-controlled epidural analgesia of ropivacaine hydrochloride at low concentration in painless labor,childbirth situation of two groups were compared. Results The pain degree(VAS) score and labor time in the observation group were significantly better than that in the control group(P < 0. 05). There were no significant differences in the postpartum hemorrhage,Apgar scores of neonates at 1,and 5 min between the two groups(P > 0. 05). The natural delivery rate and oxytocin use rate in the observation group were significantly higher than that in the control group(P < 0. 05). There was no significant difference in the incidence of adverse reactions between the two groups(P > 0. 05). Conclusion The dezocine combined with low concentration of ropivacaine hydrochloride for self-controlled epidural analgesia can significantly relieve the pain and improve the rate of natural childbirth.

引文

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