Ropivacaine combined with fentanyl epidural anesthesia for

by cnemscasp on 2012-02-04 03:17:14

Moncler Italia Ropivacaine combined with fentanyl epidural anesthesia for labor analgesia cannot lower my eyes; 3: You cannot bend the ankle. The ④ immediately after birth, 5min Apgar score. The ⑤ postpartum follow-up-related complications. 1.4 statistical analysis SPSS10.0 statistical software package for statistical analysis of measurement data are presented as mean ± standard (±). Group with a paired t-test, P < 0.05 was considered significant difference.. 2 results in this group all appeared within 5min effective analgesic analgesic compare VAS significantly lower (P < 0.01); ECG and SpO: no obvious abnormalities;, MAP, HR, RR were decreased. The Bromage rating is 0. Mode of delivery: birth to 38 cases, 8 cases of vaginal delivery, cesarean section four cases. Apgar scores are 1o points, post-natal follow-up failed to anesthesia complications. Table 1. 345 2 China Medicine Volume 22, compared with before analgesia, P < 0.01, a., P < o. 053 discussion with the maternal labor uterine contractions strengthen the pain got worse due to stress reactions secondary to a variety of physiological and biochemical changes [1], such as basal metabolic rate increase, increased catecholamine secretion, mainly for increased maternal blood pressure, heart rate accelerated, growth rate of breathing and hyperventilation, which can give the maternal and fetal bring certain hazards. Therefore, timely alleviate childbirth pain on maternal and child is beneficial. Ropivacaine is a new long-acting amide local anesthetic, because of its low toxicity on the central nervous and cardiovascular systems, and low concentrations with sensory and motor block separation characteristics, it is used in labor analgesia than well, the test table Mingluo ropivacaine epidural anesthesia has the characteristics of analgesia completely, does not affect the contractions. Epidural use of low concentrations of ropivacaine combined with fentanyl can significantly reduce the maternal stress response caused by pain. With the alleviation of pain, in the cardiovascular system caused by the pain of the sympathetic nervous over-excitement caused by tachycardia and hypertension can be improved, but due to the use of low concentrations of ropivacaine and fentanyl, and the feeling of block does not exceed T, the cardiovascular effects is also very small, no analgesia during the occurrence of hypotension and bradycardia, ECG and Sp0. Also no exception. Respiratory, analgesic, respiratory rate too fast has been a significant decline in avoid hyperventilation generation, a small dose of fentanyl at the same time enhance the analgesic effect, there is no cause respiratory depression, performance, and from newborn children Apgar scores nor neonatal respiratory depression. In summary, ropivacaine combined with fentanyl epidural anesthesia for labor analgesia can effectively reduce the contractions pain, lower birth stress response has a good effect on the stability of maternal respiratory and circulatory systems.