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目的:比较低浓度布比卡因与罗哌卡因配伍芬太尼用于双管硬膜外麻醉无痛分娩的效果。方法:选择无明显头盆不称的足月单胎头位产妇60例(镇痛组),分为A组(30例)与B组(30例),分别实施低浓度布比卡因与罗哌卡因配伍芬太尼双管硬膜外分娩镇痛,观察镇痛效果及不良反应,并与同期未加干预的60例产妇(对照组)比较产程时间、分娩方式、新生儿评分及产后出血量。结果:A组与B组的镇痛有效率分别为96.7%(29/30)、100.0%(30/30),均无明显并发症出现。镇痛组的产程时间、分娩方式、新生儿评分及产后出血量与对照组比较差异均无统计学意义(P>0.05)。结论:低浓度布比卡因与罗哌卡因配伍芬太尼用于双管硬膜外麻醉无痛分娩镇痛效果确切,满意度高,对母婴无不良反应,有良好的临床应用前景。
Objective: To compare the effect of low concentration bupivacaine and ropivacaine compatibility fentanyl in painless labor of double-tube epidural anesthesia. Methods: A total of 60 cases of full-term single-head maternal mothers with no symptoms of head failure were divided into group A (30 cases) and group B (30 cases), and were given low-dose bupivacaine Ropivacaine combined with fentanyl, double-tube epidural analgesia, analgesic effect and adverse reactions were observed. Compared with 60 mothers (control group) who did not intervene in the same period, the duration of labor, mode of delivery, neonatal score and Postpartum hemorrhage. Results: The effective rates of analgesia in group A and group B were 96.7% (29/30) and 100.0% (30/30), respectively. No obvious complication occurred. The analgesia group labor time, mode of delivery, neonatal score and postpartum hemorrhage volume compared with the control group, no significant difference (P> 0.05). Conclusion: Low concentration of bupivacaine and ropivacaine compatibility fentanyl for double-tube epidural painless labor analgesic effect is exact, high satisfaction, no adverse reactions to mother and child, have a good clinical application prospects .