【摘要】 目的对产妇行罗哌卡因+芬太尼硬膜外阻滞,观察母婴结局以及产妇产程。方法选择我院于2018年2～8月期间收治的初产妇82例,采用随机数字表法将所有产妇分为观察组与对照组,各41例。对照组产妇不接受分娩镇痛措施,观察组患者接受罗哌卡因+芬太尼硬膜外阻滞镇痛,比较两组产妇的产程以及母婴结局。结果观察组产妇的第一产程、剖宫产率及胎儿窘迫率均明显低对照组产妇,即数据对比差异有统计学意义(P <0.05);观察组产妇的第二产程、第三产程、产后出血量、新生儿的Apgar评分与对照组患者比较差异无统计学意义(P> 0.05)。结论产妇分娩期间,对产妇行罗哌卡因+芬太尼硬膜外阻滞镇痛,不仅可以缩短产妇的第一产程,减少产妇剖宫产率,还能减少胎儿窘迫概率,值得临床推广使用。更多还原

【Abstract】 Objective To observe the maternal and infant outcomes of ropivacaine and fentanyl epidural block and the parturient labor process. Methods Eighty-two cases of primipara admitted to our hospital from February 2018 to August 2018 were selected and divided into the observation group and the control group taking the random number table as reference,with 41 cases in each group.The control group received no labor analgesia measures,while the observation group received ropivacaine and fentanyl epidural block analgesia.The labor process and maternal and infant outcomes were compared between the two groups. Results The first stage of labor was observed,and the rate of cesarean section and fetal distress in the observation group were significantly lower than that in the control group,the difference was statistically significant(P < 0.05).There was no significant difference between the observation group and the control group in the second and third stages of labor,postpartum blood loss,and neonatal Apgar score(P > 0.05). Conclusion During parturient delivery,the parturient is treated with ropivacaine and fentanyl epidural block analgesia can not only shorten the parturient’s first labor process,reduce the rate of cesarean section,but also reduce the probability of fetal distress,which is worthy of clinical promotion.更多还原