曲马多和芬太尼复合罗哌卡因用于硬膜外镇痛分娩的临床比较
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【摘要】目的临床上常用低浓度罗哌卡因+芬太尼行硬膜外镇痛分娩且报道较多，而曲马多应用于硬膜外镇痛分娩少有报道，本文旨在了解曲马多与芬太尼复合罗哌卡因的临床比较。方法笔者所在医院2008年10月~2009年12月自愿要求分娩镇痛产妇100例。观察两组的镇痛效果、产程、分娩方式、产时出血及Apgar评分。结果分娩镇痛可有效缓解产痛，缩短产程，降低剖宫产率，对母婴无不良影响。两组统计学处理差异无统计学意义均能安全的应用于分娩镇痛。结论曲马多和芬太尼复合罗哌卡因用于硬膜外镇痛分娩安全有效，两种方法值得推广
【关键词】镇痛；分娩；罗哌卡因；曲马多；芬太尼
Tramadol and fentanyl composite ropivacaine used for epidural analgesia delivery of clinical comparison ZHOU Gang ,LI Dong-ya.Dazhou Traditional Chinese Medicine School State Affiliated Hospital.Dazhou 635000，China
【Abstract】ObjectiveCommonly used clinically low concentration Ropivacaine + fentanyl line epidural analgesia delivery and coverage is more,and song horses used in epidural analgesia delivery reports.This paper understand Tramadol and fentanyl composite Ropivacaine Clinical comparison.MethodsOur hospital in October 2008 to December 2009 voluntary requirements labor analgesia puerpera 100 cases.Observe the analgesic effect of two groups,labor,and production process,the way when Apgar score and bleeding ......
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