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目的:观察低浓度罗哌卡因+芬太尼硬膜外自控镇痛对产妇及新生儿的影响。方法:48例自愿接受分娩镇痛的产妇为观察组,42例自然分娩的产妇为对照组,记录镇痛效果、产程、分娩方式、产后出血、新生儿评分及产后泌乳情况。结果:观察组镇痛效果显著(P<0.01);观察组活跃期明显缩短,从而加快了总产程(P<0.05),并降低了手术产率(P<0.01),而对产后出血、新生儿评分无不良影响(P>0.05);观察组可促进产后早泌乳,提高了母乳喂养成功率(P<0.01)。结论:罗哌卡因用于分娩镇痛效果好、不良反应少、可操作性强,产妇易接受,值得推广。
Objective: To observe the effect of epidural analgesia with low concentration of ropivacaine + fentanyl on the mothers and newborns. Methods: Forty-eight pregnant women who volunteered for labor analgesia were selected as the observation group. 42 cases of spontaneous labor were selected as the control group. The analgesic effect, labor course, mode of delivery, postpartum hemorrhage, neonatal score and postpartum lactation were recorded. Results: The analgesic effect of the observation group was significant (P <0.01). The active phase of the observation group was significantly shortened, which accelerated the total labor (P <0.05) and reduced the operative yield (P <0.01) Children’s score had no adverse effect (P> 0.05). The observation group could promote the early postpartum lactation and improve the success rate of breastfeeding (P <0.01). Conclusion: Ropivacaine is effective in analgesia during labor, with fewer adverse reactions, strong maneuverability and maternal acceptance. It is worth promoting.