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| Study on the Clinical Comparation of Different Dosage of Ropivacaine Hydrochloride for Labor Analgesia and Doula Analgesia |
| SONG Yang, GAO Yang, ZHANG Yiming, et al |
| Chengde Maternal and Child Health-Care Hospital, Hebei Chengde 067000, China |
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Abstract Objective: To compare and analyze the difference between lumbar spinal anesthesia and ropivacaine hydrochloride for labor analgesia and Doula analgesia. Methods: From March 2017 to December 2018, 200 primiparas who were required to perform labor analgesia with nerve and muscle stimulator in our hospital were used as control group (group A) and 400 primiparae who were required to undergo combined spinal-epidural anesthesia for labor analgesia. According to the order of admission of puerpera, they were randomly divided into B1 group and B2 group, 200 patients in each group. The analgesic effect, labor duration, uterine contraction, postpartum hemorrhage, neonatal Apger score and the degree of motor block were observed and recorded. Results: There was no significant difference in age, height, weight, gestational age and operation time between the study group and the control group (P>0.05). The analgesic effect of group B1 and B 2 was significantly higher than that of group A (P<0. 05), but the analgesic effect of group 0 was significantly higher than that of group A and group B1 (, (P<0. 05). The time of active period and the second stage of labor in group B1 and B2 were significantly longer than those in group A (P<0.05) and the active period in group B1 was significantly shorter than that in group B2 (P<0.05), but there was no significant difference among the three groups (P> 0.0). 5) the amount of postpartum hemorrhage in group B 1 and group B2 was significantly higher than that in group A (P<0 05), and the amount of postpartum hemorrhage in group B1 was significantly lower than that in group B 2 (P<0 05), and there was no difference in Apger scores among the three groups (P> 0 05). The degree of motor block in group A was significantly higher than that in group B1 (P<0.05). Conclusion: The analgesic effect of injection of ropivacaine hydrochloride by injection of lumbar anesthesia is better than the analgesic effect of the guide instrument. In group B1, the regimen of lumbar anesthesia is shorter than that in the B2 group, and the effect on the uterine contraction is small, and the effect of labor analgesia is the best.
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2018, Vol. 24 
