[1]王振山,李艳丽,李晓娟,等.不同浓度罗哌卡因应用于分娩镇痛的临床观察[J].医学信息,2019,32(02):154-156.[doi:10.3969/j.issn.1006-1959.2019.02.046]
　WANG Zhen-shan,LI Yan-li,LI Xiao-juan,et al.Clinical Observation of Different Concentrations of Ropivacaine for Labor Analgesia[J].Journal of Medical Information,2019,32(02):154-156.[doi:10.3969/j.issn.1006-1959.2019.02.046]
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不同浓度罗哌卡因应用于分娩镇痛的临床观察 ()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年02期
页码:
154-156
栏目:
药物与临床
出版日期:
2019-01-15

文章信息/Info

Title:
Clinical Observation of Different Concentrations of Ropivacaine for Labor Analgesia
文章编号:
1006-1959（2019）02-0154-03
作者:
王振山; 李艳丽; 李晓娟; 张金山
天津市第一医院麻醉科，天津 300232
Author(s):
WANG Zhen-shan; LI Yan-li; LI Xiao-juan; ZHANG Jin-shan
Department of Anesthesiology,Tianjin First Hospital,Tianjin 300232,China
关键词:
分娩镇痛; 硬膜外; 盐酸罗哌卡因; 芬太尼
Keywords:
Labor analgesia; Epidural; Ropivacaine hydrochloride; Fentanyl
分类号:
R714.3；R614
DOI:
10.3969/j.issn.1006-1959.2019.02.046
文献标志码:
A
摘要:
目的 观察不同浓度的罗哌卡因联合少量芬太尼用于分娩镇痛的临床效果。方法 将120例拟行硬膜外分娩镇痛的初产妇作为研究对象，采用随机数字表法分为A、B、C、D 4个组，每组30例，硬膜外麻醉分别给予0.075%、0.1%、0.125%、0.15%盐酸罗哌卡因+1 μg/ml芬太尼进行镇痛，比较各组产妇的镇痛有效率，第一、二产程时间、运动阻滞评分以及不良反应等指标。结果 4组产妇分娩镇痛效果良好，A、B、C、D组产妇镇痛有效率分别为70.00%、83.33%、86.67%、90.00%，B、C、D组高于
Abstract:
Objective To observe the clinical effects of different concentrations of ropivacaine combined with a small amount of fentanyl for labor analgesia. Methods 120 primiparas who had undergone epidural labor analgesia were selected as subjects. They were divided into four groups: A, B, C and D by random number table. 30 cases in each group and 0.075% in epidural anesthesia. 0.1%, 0.125%, 0.15% ropivacaine hydrochloride +1 μg/ml fentanyl for analgesia, compare the analgesic efficiency of the women in each group, the first and second labor time, exercise retardation score. Results The analgesic effect of labor in 4 groups was good. The effective rates of maternal analgesia in group A, B, C and D were 70.00%, 83.33%, 86.67% and 90.00%, respectively. Groups B, C and D were higher than group A (P< 0.05), 1 patient in group D had motor block (Bromage score 1 point).Conclusion Epidural labor analgesia with 0.1%~0.15% ropivacaine combined with 1μg/ml fentanyl can provide safe and reliable labor analgesia for women.

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更新日期/Last Update: 2019-02-15