瑞芬太尼自控式分娩镇痛的效果观察

摘要：目的]观察瑞芬太尼自控式分娩镇痛的效果。方法]3360例顺娩产妇随机分为观察组和对照组，每组180例，观察组应用瑞芬太尼自控式静脉用药进行分娩镇痛，对照组产程中不使用任何镇痛药物。观察并比较两组病人疼痛情况、术中出血量、产程时间和新生儿窒息情况。结果]观察组镇痛效果明显优于对照组（P〈0．05），观察组第一产程和总产程短于对照组（P〈0．05）；第一产程、术中出血量和新生儿窒息情况两组比较差异无统计学意义（P〉0．05）。结论]瑞芬太尼自控式分娩镇痛效果明显。

Observation on analgesia effect of pregnant accepting remifentanil self--control delivery

Objective： To observe the effect of remifentanil self--control analgesia for childbirth of pregnant. Methods： A total of 360 spontaneous delivery gravida were divided into test and control group randomly 180 eases each. Self--control intravenous medication with remifentanil was given for self--control analgesia delivery of test group. And no analgesics were given for gravida in control group during labor. Then the pain of childbirth, hemorrhage amount during operation, labor time and asphyxia of newborns of all cases were observed and compared. Results： The analgesia effect in test group gravida is much better than that of control group （P〈0. 05）. The first stage of labor and total stage of labor of test group gravida were shorter than that of control group （P〈0. 05）. There is no statistical significant difference in terms of the first stage of labor, hemorrhage amount during operation, and asphyxia of newborn between the two group eases （P〉0.05）. Conclusion： The effect of self--control analgesia with remifentanil for delivery is remarkable.