罗哌卡因复合舒芬太尼双管法硬膜外分娩镇痛的有效性研究

Efficacy of Ropivacaine Together with Sufentanil in Double-catheter Epidural Analgesia During Labor

目的:探讨罗哌卡因复合舒芬太尼双管法硬膜外分娩镇痛的临床效果。方法:收集2013年1月-2014年1月本院200例患者,随机分为对照组和试验组,每组各100例。对照组予单管法硬膜外分娩镇痛,试验组予双管法硬膜外自控镇痛。观察镇痛10 min、镇痛30 min、宫口开全时疼痛视觉模拟评分(VAS评分);中转剖宫产率;新生儿1 min和5 min Apgar评分。结果:两组镇痛10 min、镇痛30 min、宫口开全时VAS评分均小于镇痛前,差异有统计学意义(P<0.05)。试验组镇痛10 min、镇痛30 min、宫口开全时VAS评分均小于对照组,差异有统计学意义(P<0.05)。试验组中转剖宫产率显著低于对照组,差异有统计学意义(P<0.05)。两组新生儿1 min和5 min Apgar评分差异无统计学意义(P>0.05)。结论:罗哌卡因复合舒芬太尼双管法用于硬膜外分娩镇痛临床可行。

Objective：To investigate the effectiveness of ropivacaine together with sufentanil in double-catheter epidural analgesia during labor.Method：From January 2013 to January 2014, 200 patients were divived into control group and experimental group,each of 100 cases.The control group were treated by single-catheter epidural analgesia and the experimental group were treated by double-catheter epidural analgesia.Visual analogue scales after ten minutes, thirty minutes,and when the uterine neck whole opened; cesarean section rate; apgar score of newborns in 1 minute and 5 minutes, were compared between two groups.Result：Compared the VAS after ten minutes, thirty minutes and when the uterine neck whole opened between two groups, the differences were statistically significant（P〈0.05）.Cesarean section rate in experimental group was significantly lower than that in control group, the difference was statistically significant（P〈0.05）.Compared the Apgar score of newborns in 1 minute and 5 minutes between two groups, the difference was no statistically significant（P〉0.05）.Conclusion：Ropivacaine together with sufentanil were feasible in double-catheter epidural analgesia during labor.