小剂量罗哌卡因复合舒芬太尼腰硬联合麻醉用于无痛分娩对母婴结局的影响

Low-Dose Ropivacaine Combined with Sufentanil Combined with Lumbar and Lumbar anesthesia for Maternal and Neonatal Outcomes of Painless Delivery

目的探讨无痛分娩过程中应用小剂量罗哌卡因复合舒芬太尼腰硬联合麻醉对母婴结局的影响。方法选取本院产科收治的150例接受无痛分娩的产妇作为研究对象,随机分为两组。两组麻醉用药均为小剂量罗哌卡因复合舒芬太尼,对照组采用硬膜外麻醉,观察组接受腰硬联合麻醉。对比两组母婴结局情况。结果观察组患者麻醉镇痛的起效时间显著短于对照组;产妇疼痛评分显著低于对照组(P <0.05)。观察组患儿在出生1和5 min时的阿氏评分均显著高于对照组(P <0.05)。结论小剂量罗哌卡因复合舒芬太尼腰硬联合麻醉用于无痛分娩可获得良好地母婴结局。

Objective To investigate the effect of low-dose ropivacaine combined with sufentanil combined with lumbar anesthesia on the maternal and fetal outcomes during painless delivery. Methods A total of 150 parturients in the obstetrics department of our hospital were randomly divided into two groups:Two groups with low dose of ropivacaine combined with sufentanil,the control group with epidural anesthesia,and the observation group with combined spinal and epidural anesthesia. The maternal and infant outcomes of the two groups were compared. Results The onset time of anesthesia analgesia in the observation group was shorter than that in the control group,and the maternal pain score was lower than that in the control group(P<0.05). The patients in the observation group were higher than those in the control group at 1 and 5 min(P<0.05). Conclusion Lowdose ropivacaine combined with sufentanil combined with lumbar and anesthesia for painless labor can achieve good maternal and fetal outcomes.