罗哌卡因复合舒芬太尼对妊娠高血压综合征患者分娩镇痛的临床分析

目的探讨罗哌卡因复合舒芬太尼对妊娠高血压综合征患者分娩镇痛的临床效果。方法将分娩镇痛的妊娠高血压综合征产妇80例随机分为观察组和对照组各40例。均采用腰-硬联合阻滞法进行分娩镇痛,观察组使用罗哌卡因复合舒芬太尼,对照组单独使用罗哌卡因。结果观察组产妇的镇痛效果、分娩结局、新生儿情况以及分娩过程中的收缩压情况均明显优于对照组产妇(P<0.05),而2组产妇的运动阻滞情况、总产程、分娩前收缩压以及出血量比较,差异无统计学意义(P>0.05)。结论罗哌卡因复合舒芬太尼用于妊娠高血压综合征患者分娩镇痛,具有良好的镇痛效果,并且不增高患者的血压,使血压有一定程度的下降,值得临床推广应用。

Objective To investigate the effects of sufentanil and ropivacaine used in anodyne labor of patients with pregnancy-induced hypertension syndrome. Methods 80 patients with pregnancy-induced hypertension syndrome who chose anodyne labor were randomly divided into two groups, observation group and control group, 40 cases in each group. All patients were given combined spinal-epidural analgesia. Sufentanil and ropivacaine were used in observation group and only ropivacaine was used in control group. Results The effect of anodyne labor, delivery outcome, situation of new born and systolic pressure during delivery process in observation group were significantly better than control group. There were no significantly differences between two group in motor block, total duration of labor, systolic pressure before labor and blooding volume. Conclusion Sufentanil and ropivacaine used in anodyne labor of patients with pregnancy-induced hypertension syndrome have good anodyne effect, and have no effect of patients＇ pressure. It is worthy of clinical application.