硬膜外腔罗哌卡因,左旋布比卡因给药用于早期分娩镇痛的比较

【摘要】 目的给于硬膜外腔罗哌卡因和左旋布比卡因后比较它们用于早期分娩镇痛的效果。方法选择产妇102例,随机分为两组,每组均为51例,分别给予0.1%罗哌卡因和0.1%布比卡因。在镇痛期间进行视觉模拟镇痛评分,对运动神经阻滞进行Bromage评估;在1,2产程时间进行新生儿的Apgar评分以及他们的神经和适应能力的评分。结果两组产妇的产程时间,器械助产率、顺产率以及催产素的使用率没有明显的差异;所有产妇的镇痛起效时间和视觉模拟镇痛评分没有显著的差异;布比卡因组产妇的Bromage评分明显高于罗哌卡因组,而镇痛满意度却比较低。婴儿的评分都没有显著的差异。结论罗哌卡因比布比卡因的分娩镇痛效果好。更多还原

【Abstract】 Objective After giving the epidural ropivacaine and levobupivacaine then we compare their effectiveness for early labor analgesia.Methods 102 cases of mothers were randomly divided into two groups,each group has 51 patients.They were treated with 0.1% ropivacaine and 0.1% bupivacaine.During the pain we get the visual analog pain analgesic score and assess Bromage motor block.During 1,2 duration we get the Apgar score for newborns and their neurological and adaptive capacity score.Results There are no obvious differences of the maternal labor time,instrumental delivery rate,natural delivery rate and utilization of oxytocin.There are no signifi cant differences of all maternal onset time of analgesia and visual analog pain score.In bupivacaine group Bromage score is signifi cantly higher than maternal ropivacaine group,but less in pain satisfaction.Baby’s score are not signifi cantly different.Conclusion Ropivacaine is more effective than bupivacaine for labor analgesia.更多还原