【摘要】 目的 :探讨分娩镇痛方法的效果。方法 :采用 0 .0 75 %低浓度比卡因硬膜外阻滞麻醉接自控泵 (PCA) 10 2例 ,与初产妇未干扰组进行比较 :镇痛效果、不良反应、产程时间、分娩方式、产后出血及胎儿、新生儿影响。结果 :0 .0 75 %低浓度布比卡因硬膜外阻滞麻醉 ,分娩镇痛效果好 ,无不良反应 ,产程时间缩短为 3～ 4小时 ,阴道助产率增高 ,产后出血量约 10 0～ 15 0ml,对胎儿及新生儿均无不良影响。结论 :0 .0 75 %低浓度布比卡因硬膜外阻滞麻醉 ,分娩镇痛效果好 ,副反应少 ,病人自控灵活 ,对母婴无显著不良反应 ,有应用推广价值。更多还原

【Abstract】 Objective: To observe the analgesic effect. Methods: 102 cases received patient controlled epidural analgesia(PCA) with 0.075% Bupivacaine while another 102 cases without labour analgesia served as control group. Two groups were compared in some ways of analgesia effect, side-effect?Period of labour?methods of deliveries?postpartum?haemorrhage and influence to fetuses or neonates. Result: 0.075% Bupivacaine led to excellent analgesia without sied-effect?periods of labours were shorted to 3～4hours. The cases of normal delivaries were increased. The amount of postpartum haemorrhage was about 100～150ml. There was no influence to fetus or neote conclusion it was good that 0.075% Bapivacaine was used in analgesia with little side-effect?patients could controlled according to rules in the whole. It is a valuable way to be deveopped.更多还原