舒芬太尼联合罗派卡因在无痛分娩中的临床应用

Clinical application of sufentanil combined with ropivacaine in painless delivery

目的探讨舒芬太尼联合罗派卡因在无痛分娩中的临床应用价值。方法本研究回顾分析本院产科2017年1月至2017年12月之间收治150例无痛分娩产妇的临床资料,随机分为联合用药组、罗派卡因组和对照组,对照组不应用任何类型的麻醉药物,罗派卡因组应用单一罗派卡因,联合用药组在无痛分娩中应用舒芬太尼和罗派卡因,比较3组分娩结果和新生儿情况。结果 3组观察对象第一产程和第二产程时间,以及新生儿Apgar评分结果比较,差异均无明显的统计学意义。联合用药组第一产程活跃期小于2.5 h占比、剖宫产率和产后出血发生率均明显低于罗派卡因组和对照组,差异有统计学意义(P<0.05),而3组产妇缩宫素使用率比较则无明显的统计学意义。3组产妇分娩后运动阻滞情况比较差异无统计学意义,而其疼痛程度则明显轻于罗派卡因组和对照组,3组差异比较存在明显的统计学意义(P<0.05)。结论在产妇无痛分娩过程中应用舒芬太尼联合罗派卡因麻醉,有助于产妇的顺利安全分娩,缩短产程时间,保证产妇和新生儿健康。

Objective To investigate the clinical value of sufentanil combined with ropivacaine in painless labor. Methods This study reviewed the clinical data of 150 patients undergoing painless delivery during obstetrics in our department of obstetrics from January 2017 to December 2017. The clinical data were randomly divided into the combination group, the capecine group and the control group. The control group was not applied. For any type of anesthetic drug, ropivacaine group was treated with single ropivacaine, and the combination group was given sufentanil and ropivacaine in painless labor to compare the results of three components and neonatal conditions. Results There was no significant difference between the three groups in the first stage of labor and the second stage of labor, and the results of neonatal Apgar scores. The proportion of active period of less than 2.5 hours in the first stage of labor, the rate of cesarean section and postpartum hemorrhage in the combination group were significantly lower than those in the Ropcaine group and the control group (P<0.05), while the use of oxytocin in the three groups was significantly lower. There was no statistically significant difference. There was no statistically significant difference in maternal motion retardation after delivery, but the degree of pain in the three groups was significantly lower than those in the Ropcaine group and the control group. The difference between the three groups was statistically significant (P<0.05). Conclusion Sufentanil combined with ropivacaine anesthesia in the painless parturition process of maternal women is helpful for the smooth and safe delivery of mothers, shortening the labor time and ensuring maternal and newborn health.