论文部分内容阅读
目的研究布比卡因联合芬太尼连续硬膜外阻滞在无痛分娩中的临床应用效果。方法选择2013年10月—2014年11月进行阴道分娩的产妇328例,随机将其分成对照组和治疗组,每组各164例,对照组行自然分娩,治疗组采用布比卡因联合芬太尼连续硬膜外阻滞行无痛分娩。观察两组分娩情况。结果治疗组产妇产后出血量明显少于对照组,疼痛程度明显轻于对照组,差异均有统计学意义(P<0.05);两组产妇在第二、第三产程、新生儿出生后APgar评分及第一产程的HR、SBP、DBP、MAP方面相比,差异无统计学意义(P>0.05)。结论在产妇自然分娩过程中采用利多卡因联合芬太尼连续硬膜外阻滞能有效的缩短第一产程,减轻患者疼痛,减少产后出血量,并且其对新生儿、第二产程、第三产程无明显影响,可以推广应用。
Objective To study the clinical effect of continuous epidural bupivacaine combined with fentanyl in painless childbirth. Methods 328 cases of vaginal delivery from October 2013 to November 2014 were randomly divided into control group and treatment group, 164 cases in each group. The control group received natural childbirth. The treatment group received bupivacaine combined with Fen Tai Nile continuous epidural block painless childbirth. Observe the two groups of delivery situation. Results The postpartum hemorrhage in the treatment group was significantly less than that in the control group, and the pain was significantly lighter than that in the control group (P <0.05). The APgar score There were no significant differences in HR, SBP, DBP and MAP in the first stage of labor (P> 0.05). Conclusions Continuous epidural blockade of lidocaine combined with fentanyl during spontaneous labor can effectively shorten the first stage of labor, relieve the pain and reduce the amount of postpartum hemorrhage, and its effect on newborn, second stage of labor, third No significant effect of labor, can promote the application.