摘要：目的 探讨产妇在分娩时镇痛时麻醉药物的选择.方法 选择我院2007年5月至2009年4月期间单胎初产妇150例随机分为三组,分别使用0.75%罗哌卡因20 ml+芬太尼0.2 mg+生理盐水至100 ml;0.75%罗哌卡因20 ml+曲马多200 mg+生理盐水至100 ml;0.75%罗哌卡因20 ml+曲马多200 mg+氟哌利多50 mg+生理盐水至100 ml,观察各组的疼痛评分、镇静评分及副作用.结果 使用芬太尼的患者镇痛、镇静效果明显优于其他的药物配伍,并且不良反应轻.结论 芬太尼在分娩镇痛中具有镇痛、镇静效果好,不良反应少,用药少的优势. Abstract： Objective To explore the choice of narcotic drugs required for analgesia in childbirth in maternal. Methods Random selection in our hospital from May 2007 to April 2009 during the period 150 cases of singleton pregnancies were divided into three groups of primipara.The use of 0.75% ropivacaine 20 ml+fentanyl 0.2 mg+saline to the 100 ml; 0.75% ropivacaine 20 ml+tramadol 200 mg+saline to the 100 ml; 0.75% ropivacaine 20 ml+tramadol 200 mg+droperidol 50 mg+physical salt to 100 ml. Observed in each group the pain score, sedation score and side effects. Results Patients using the fentanyl analgesic, sedative effect is superior to other drug compatibility, and side effects of light. Conclusions Fentanyl labor analgesia with analgesic, sedative effect is good, fewer adverse reactions, medication less advantage.

关键词：药物配方 分娩镇痛 临床观察 different labor 

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