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目的观察硬膜外麻醉无痛分娩的疗效及对母儿的影响。方法足月单胎头位初产妇,无头盆不称等高危因素,临产后于宫口开大约3cm时进行硬膜外腔穿刺,硬膜外腔注入0.125%罗哌卡因直至宫缩痛觉消失,采用自控微量泵持续给药,宫口开全后停药。结果镇痛组宫缩疼痛评分,活跃期及总产程与对照组相比较差异有统计学意义(P<0.05)明显高于对照组,且对观察组产妇产后宫缩、产后出血、新生儿Apgar评分均无不良影响。结论硬膜外麻醉用于无痛分娩,方法简便,镇痛疗效确切,对母婴无不良影响,值得在产科临床推广使用。
Objective To observe the curative effect of epidural painless labor and the influence on maternal and child. Methods Full-term single head position of primipara, headless basin and other high risk factors, after labor in the cervix open about 3cm epidural puncture, epidural injection of 0.125% ropivacaine until uterine contraction pain Disappear, the use of self-controlled micro-pump continuous delivery, cervix after stopping all drugs. Results Compared with the control group, the contractions pain index, active stage and total labor process in the analgesic group were significantly higher than those in the control group (P <0.05), and the postpartum uterine contractions, postpartum hemorrhage, neonatal Apgar No adverse effect on the score. Conclusion Epidural anesthesia for painless delivery, the method is simple, analgesic effect is exact, no adverse effects on mother and child, it is worth to promote the use of obstetrics.