罗哌卡因和舒芬太尼腰硬联合麻醉对分娩产妇的镇痛效果

Analgesic effect of combined spinal-epidural anesthesia with ropivacaine and sufentanil on parturients

目的研究罗哌卡因和舒芬太尼腰硬联合麻醉对分娩产妇的镇痛效果。方法选取2018年3月至2019年3月在我院进行无痛分娩的80例产妇,随机将其分为对照组(40例,常规镇痛)和观察组(40例,罗哌卡因和舒芬太尼腰硬联合麻醉镇痛)。比较两组产程时长、镇痛效果及新生儿状况。结果观察组产妇的第一产程及第二产程时长均明显短于对照组(P<0.05)。观察组产妇的镇痛总有效率明显高于对照组(P<0.05)。两组新生儿出生1、5 min时的Apgar评分比较,差异无统计学意义(P>0.05)。结论罗哌卡因和舒芬太尼腰硬联合麻醉应用于分娩产妇能够有效减轻疼痛,而且可以缩短产程时长,对母婴影响较小。

Objective To study the analgesic effect of combined spinal-epidural anesthesia with ropivacaine and sufentanil on parturients. Methods A total of 80 parturients with birth painlessly in our hospital from March 2018 to March 2019 were selected and randomly divided into control group (40 cases, routine analgesia) and observation group (40 cases, combined spinal-epidural anesthesia with ropivacaine and sufentanil). The duration of labor, analgesic effect and neonatal status were compared between the two groups. Results The duration of the first and second stages of labor in the observation group were significantly shorter than those in the control group (P<0.05). The total effective rate of analgesia in the observation group was significantly higher than that in the control group (P<0.05). There were no significant difference in Apgar score between the two groups at 1 and 5 min of birth (P>0.05). Conclusion Combined spinal-epidural anesthesia with ropivacaine and sufentanil can effectively alleviate pain in parturients, which can shorten the duration of labor and has less influence on mother and infant.