罗哌卡因联合舒芬太尼用于无痛分娩及对胎心监护、血气分析的影响分析

Effect of ropivacaine combined with sufentanil on painless delivery and fetal heart monitoring, blood gas analysis

目的:分析在无痛分娩中联合应用罗哌卡因与舒芬太尼对胎儿心率与血气分析产生的影响。方法:选取本院2017年1月至2018年1月收治的146例初产妇作为本次的研究对象,并将其随机分为观察组与对照组,每组73例。对照组单纯使用罗哌卡因进行麻醉,观察组在使用罗哌卡因的基础上联合应用舒芬太尼,之后对比两组产妇的胎心率、疼痛情况。结果:数据结果显示,胎心率方面,观察组在单个胎心减速平均值与胎心减速持续时间两项指标上都要优于对照组;麻醉前观察组与对照组产妇在疼痛情况上基本相同,而麻醉后10min与麻醉后30min两组产妇的评分差异巨大,随着时间的推进不断增加差距。两组产妇各项数据对比差异显著,数据具有统计学意义(P<0.05)。结论:硬膜外分娩镇痛过程中使用罗哌卡因联合舒芬太尼能够良好地对胎心率进行优化,且不会对胎儿脐血产生严重影响,在未来的产妇分娩过程中可以具备使用价值。

Objective:To analyze the effect of ropivacaine and sufentanil combined in painless delivery on fetal heart rate and blood gas analysis.Methods:146 primary parturients from January 2017 to January 2018 in our hospital were selected as the research objects,and they were randomly divided into observation group and control group,73 cases in each group.The control group was anesthetized with ropivacaine alone,and the observation group was combined with sufentanil on the basis of ropivacaine,and then the fetal heart rate and pain of the two groups were compared.Results:The data showed that,in terms of the fetal heart rate,the observation group was superior to the control group in both the mean and duration of deceleration of single fetal heart.,the pain condition of puerpera in the observation group before anesthesia and the control group was basically the same,while the score of puerpera in the two groups 10min after anesthesia and 30min after anesthesia was significantly different,and the gap was increasing with the progress of time.There were significant differences in the data between the two groups(P<0.05).Conclusion:Ropivacaine combined with sufentanil during epidural labor analgesia can optimize the fetal heart rate well,and will not have a serious impact on fetal umbilical cord blood,which can be used in the future maternal labor process.