The application of mesylate ropivacaine programmed intermittent epidural injection for labor analgesia
10.3969/j.issn.1006-5725.2014.16.038
- VernacularTitle:甲磺酸罗哌卡因硬膜外规律间断注射在分娩镇痛中的应用
- Author:
Yongbao PENG
;
Songquan HU
;
Qun ZHOU
;
Liangdao CHENG
- Publication Type:Journal Article
- Keywords:
Labor analgesia;
Mesylate ropivacaine;
Epidural block;
Intermittent injection
- From:
The Journal of Practical Medicine
2014;(16):2643-2645
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of mesylate ropivacaine programmed intermittent epidural injection for labor analgesia. Method 100 cases of ASA I or II single cephalic term primiparae , randomly divided into epidural rules intermittent administration group (Group A) and continuous epidural infusion group (Group B), 50 cases of each group. Two groups were treated with 0.12%mesylate ropivacaine and 2 μg/mL fentanyl. The two groups were observed in different stage of labor , uterine contraction analgesic effect , mode of delivery , fetal distress and neonatal asphyxia. Result Compared with Group B, the VAS scores of women in Group A were decreased significantly and the difference was statistically significant (P < 0.05) after they had the labor analgesia 60min later, the mouth of the uterus opened to 5-6cm and all. There is no statistical significance in the mode of delivery and Apgar score. Conclusion Ropicacaine mesilate epidural programmed intermittent bolus are safe and effective for labor analgesia. Compared with continuous epidural infusion analgesia in labor , maternal satisfaction is higher and there is no significant adverse effects on mother and infant.
