Clinical Study of Low Concentration Ropivacaine and Fentanyl for Epidural Analgesia During Labor Period

To study the clinical effect of patient controlled epidural analgesia(PCEA) with low concentration ropivacaine and fentanyl on labor, and its quality. 33 parturients with 2～3 cm cervical dilation requested epidural analgesia and no analgesics natural labor from 50 cases were enrolled into study group and control group. In analgesia group, an epidural catheter was placed at L 3/4 space when utero cervical was opened about 2～3 cm, 8～10 mL 1 5 g/L ropivacaine with 0 002 g/L fentanyl were given into epidural space as initial dose, and analgesia level was controlled under T 10 . The basic infusion rate was 2～4 mL/h, PCA volume was 2 mL, and locktime was 15 minute. Condition of pain, delivery progress, labor duration, bleeding volume and Apgar score of newborn were observed and compared. The painless efficacy in study group was 100%, labor duration was shorter than control group obviously. But no significant difference on the bleeding volume and Apgar score were observed between two groups. [Conclusion] Patient controlled epidural analgesia(PCEA) with low concentration ropicvacaine during labor period could increase the delivery quality as well as reliable?efficient and softy manner.