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目的分析硬膜外分娩镇痛对产程、分娩方式、产后出血、新生儿评分的影响。方法通过对30例活跃期宫口开大3cm后行硬膜外镇痛分娩的产妇与同期未做任何镇痛处理的30例产妇进行比较,观察其第一、二、三产程时间、阴道助产率、新生儿Apgar评分、产后出血情况。结果采用罗哌卡因与芬太尼硬膜外镇痛分娩对各产程时间、新生儿评分、产后出血对比无显著差异。阴道助产率观察组与对照组有显著性差异。结论罗哌卡因及芬太尼硬膜外麻醉用于分娩镇痛不影响产程,对新生儿安全,但增加阴道助产率。
Objective To analyze the effect of epidural analgesia on labor course, mode of delivery, postpartum hemorrhage and neonatal score. Methods 30 cases of active period of cervix 3cm after epidural analgesia and delivery of women did not do any analgesic treatment during the same period 30 women were compared to observe the first, second and third parturients time, vaginal assist Productivity, neonatal Apgar score, postpartum hemorrhage. Results The epidural analgesia with ropivacaine and fentanyl had no significant difference in the time of birth, neonatal score and postpartum hemorrhage. Vaginal obstetrical rate of observation group and the control group were significantly different. Conclusion Ropivacaine and fentanyl epidural anesthesia for labor analgesia does not affect the birth process, the safety of newborns, but increased vaginal delivery rate.