【摘要】 目的:探讨导乐分娩配合PCEA用于无痛分娩的效果。方法:选择206例足月育龄初产妇,随机分为观察组和对照组各103例。采用PCEA硬膜外腔给药用于分娩镇痛,观察产程时间、分娩方式、产后出血及新生儿情况。结果:观察组和对照组镇痛效果比较有显著性差异(P<0.01),两组分娩方式、新生儿及产后出血情况比较均无显著性差异(P>0.05)。结论:罗哌卡因自控镇痛用于无痛分娩效果安全可靠,对母婴均无不良影响,且能明显促进产程进展。更多还原

【Abstract】 Objective: To discuss the effectiveness of Doula painless labor combined with PCEA.Methods: Two hundred and six primiparae with term pregnancy were randomly divided into observation group(n=103) and control group(n=103).PCEA was applied to administer drug to epidural space for relief of pain during labor.The observation was made in stages of labor,position and mode of labor,postpartum hemorrhage and condition of newborn.Results: There is significant difference in the comparison of relief of pain between the two groups(P<0.01),and no marked difference in position and mode of labor,condition of newborn and postpartum hemorrhage(P>0.05).Conclusion: The effectiveness is reliable when Ropivacaine was used for self-control relief of pain in painless labor and no side-effects to parturient and newborn,moreover,process of labor can be speeded.更多还原