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目的 :对比使用不同剂量的芬太尼复合罗哌卡因在产妇硬—腰联合麻醉的分娩镇痛疗效。方法 :随机选择2014年12月至2016年12月在我院进行分娩的100例产妇,将其根据就医顺序均分成对照组和观察组,给观察组产妇蛛网膜下腔注射2毫升的芬太尼(5μg)复合2.5mg罗哌卡因的混合液,为对照组产妇蛛网膜下腔注射2毫升的芬太尼(10μg)复合2.5mg罗哌卡因的混合液。在用药后,对比分析两组产妇的镇痛起效及持续时间、转剖宫产率以及新出生婴儿的Apgar评分。结果 :两组产妇经过用药后,对照组产妇的镇痛起效时间比观察组长,两组产妇在镇痛起效及持续时间、转剖宫产率以及新出生婴儿的Apgar评分等方面的差异不具有统计学上的意义(因为P<0.05)。结论 :通过研究发现,芬太尼使用的剂量越小,越能减少产妇的分娩疼痛,出现的不良反应也越少,对于分娩有很大的积极作用。
OBJECTIVE: To compare the analgesic effects of fentanyl and ropivacaine with different doses on labor analgesia in combination with hard-lumbar anesthesia. Methods: A total of 100 maternal women who gave birth in our hospital from December 2014 to December 2016 were randomly selected and divided into control group and observation group according to the order of medical treatment. The observation group was given subcutaneous injection of 2 ml of fentanyl (5μg) and 2.5mg ropivacaine were injected into the subarachnoid cavity of the control group, and 2ml fentanyl (10μg) and 2.5mg ropivacaine were injected into the subarachnoid. After treatment, analgesic onset and duration, cesarean section rate and Apgar score of newborns were compared between the two groups. Results: After the two groups of maternal drug treatment, the control group maternal analgesic onset time than the observation group leader, the two groups of maternal onset and duration of analgesia, cesarean section rate and newborn baby’s Apgar score and so on The difference was not statistically significant (because P <0.05). Conclusions: Through the study found that the smaller the dose of fentanyl, the more able to reduce the pain of childbirth, the fewer side effects, the delivery has a very positive effect.