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目的:分析蛛网膜下腔麻醉与连续硬膜外麻醉用于镇痛分娩的临床疗效。方法:对我院2013年1月至2013年7月入院的92例产妇进行治疗分析,并随机分成观察组50例和对照组42例,观察组患者采用罗哌卡因蛛网膜下腔-硬膜外联合镇痛,对照组患者给予罗哌卡因复合芬太尼硬膜外腔镇痛,观察两组产妇的情况。结果:镇痛期间两组VAS评分均降低(P<0.05),与对照组比较,观察组降低的更明显(P<0.05);观察组的镇痛起效时间为(120.2±37.1)s,对照组镇痛起效时间为(520.1±133.2)s。两组产妇分娩镇痛起效时间比较差异有统计学意义(P<0.05)。结论:罗哌卡因蛛网膜下腔-硬膜外联合镇痛用于产妇镇痛分娩,效果可靠,对产妇及新生儿身体恢复有好处,是目前理想镇痛方法。
Objective: To analyze the clinical effects of subarachnoid anesthesia and continuous epidural anesthesia for analgesia delivery. Methods: 92 maternal women admitted to our hospital from January 2013 to July 2013 were analyzed and randomly divided into observation group (50 cases) and control group (42 cases). Patients in the observation group were treated with ropivacaine subarachnoid - Patients in the control group were given epidural analgesia of ropivacaine combined with fentanyl, and their maternal conditions were observed. Results: The VAS score of both groups decreased during the period of analgesia (P <0.05), compared with the control group, the decrease of the VAS group was more obvious (P <0.05); the onset time of analgesia in the observation group was (120.2 ± 37.1) s, The analgesic onset time in the control group was (520.1 ± 133.2) s. Two groups of maternal labor analgesia onset time difference was statistically significant (P <0.05). Conclusion: Ropivacaine combined with subarachnoid-epidural analgesia is an ideal analgesia for maternal analgesia and childbirth. It is reliable and has good effects on maternal and neonatal body recovery.