潜伏期罗哌卡因硬膜外镇痛辅助共振音乐对分娩结局的影响

Influence of latency epidural analgesia of Ropivacaine assisted with resonance music on delivery outcomes

目的探讨潜伏期罗哌卡因硬膜外镇痛辅助共振音乐对分娩结局的影响。方法将我院收治的300例分娩产妇,随机分为对照组(常规处理)、观察Ⅰ组(潜伏期罗哌卡因硬膜外镇痛)、观察Ⅱ组(潜伏期罗哌卡因硬膜外镇痛辅助共振音乐),每组各100例,对各组疼痛分值、产后2 h出血量、第一和第二产程时间、分娩方式以及血中皮质醇及β-内啡肽含量进行观察和比较。结果与对照组比较,两观察组疼痛分值明显减少,镇痛有效率明显升高,产后出血量、产程时间均明显缩短,自然分娩率明显升高,剖宫产率显著降低(P<0.05);与观察Ⅰ组比较,观察Ⅱ组疼痛分值和镇痛程度均有明显改善,产后出血量、产程时间均明显缩短,明显改善了分娩结局(P<0.05);与对照组比较,观察组给药20 min后,血中β-内啡肽含量明显降低,并且观察Ⅱ组降低更为明显(P<0.05),而皮质醇含量变化没有统计学意义(P>0.05)。结论潜伏期罗哌卡因硬膜外镇痛辅助共振音乐治疗具有镇痛效果佳、缩短产程、改善分娩结局等诸多优点。

Objective To study the effect of latency epidural analgesia of ropivacaine assisted with resonance music on delivery out- comes. Methods A total of 300 delivery pregnant women in our hospital were randomized into trial group- I （ latency epidural analgesia of Ropivacaine）, trial group- II （ latency epidural analgesia of Ropivaeaine assisted with resonance music ） and control group （routine treatment） （n = 100/group）. The indexes, such as pain scores, postpartum hemorrhage volume of 2 hours, the first and second stage labor time, delivery mode, and the levels of blood cortisol and beta-endorphin, were observed and compared. Results Compared with the control group, the pain scores was significantly reduced, the analgesic efficacity was obviously increased, the postpartum hemorrhage amount and labor time were obviously reduced, the natural childbirth rate was increased and the cesarean section rate was decreased in the two trial groups （ P 〈 0.05 ） ; compared with the trial group- I , the pain scores and analgesia degree were significantly improved, the postpartum hemorrhage amount and labor time were obviously reduced, and the delivery outcome was significantly improved in the trial group- 11 （ P 〈 0.05 ） ; compared with the control group, the beta-endorphin levels were significantly reduced at 20-min after drug administration in the trial groups and the reducing degree was more obvious in the trial group- Ⅱ （ P 〈 0.05 ）, without a statistical difference in the change in eortisol level （ P 〉 0.05 ）. Conclusion The treatment of latency epidural analgesia of Ropivacaine assisted with resonance music has many advantages, such as increased analgesic effect, shortened the delivery progress and improved birth outcomes.