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的效果观察

Effect of Low-dose Ropivacaine combined with Sufentanil combined with Spinal Anesthesia for Painless Delivery

目的研究分析在无痛分娩产妇中实施小剂量罗哌卡因复合舒芬太尼腰硬联合麻醉的效果。方法选取在本院接受无痛分娩的产妇作为研究对象,选取时间段为2016年8月至2017年12月,病例数为330例。根据选用麻醉药物的不同将患者分为舒芬太尼组、罗哌卡因组和小剂量盐酸罗哌卡因复合舒芬太尼复合麻醉组。分析三组产妇的镇痛效果以及不良反应情况。结果产前阶段三组的VAS分数均不存在显著差异(P>0.05),在活跃期给药后、第二产程和第三产程复合组中产妇的VAS分数均显著低于舒芬太尼组、罗哌卡因组(P<0.05)。复合组中产妇的寒颤、牵拉痛、心动过速、呕吐各项不良反应情况均显著低于舒芬太尼组、罗哌卡因组(P<0.05)。结论临床上在开展无痛分娩过程中,采取小剂量罗哌卡因复合舒芬太尼腰硬联合麻醉能够获得良好的镇痛效果,且不良反应少,值得推广。

Objective To study and analyze the effect of low-dose ropivacaine combined with sufentanil combined with spinal epidural anesthesia in painless labor.Methods Maternal patients who received painless childbirth in our hospital were selected as the research object.The period was from August 2016 to December 2017,and the number of cases was 330.Patients were divided into sufentanil group,ropivacaine group,and low-dose ropivacaine hydrochloride combined with sufentanil combined anesthesia group according to the choice of anesthetic drugs.The analgesic effects and adverse reactions of the three groups of women were analyzed.Results:There were no signifi cant differences in the VAS scores of the three groups during the prenatal period(P>0.05).After administration in the active phase,the VAS scores of the women in the second and third stage of the combined group were signifi cantly lower than those of sufentanil Group,ropivacaine group(P<0.05).The adverse effects of maternal chills,trauma,tachycardia,and vomiting in the composite group were signifi cantly lower than those of the sufentanil group and ropivacaine group(P<0.05).Conclusion:In the process of clinical painless delivery,low-dose ropivacaine combined with sufentanil combined with spinal and epidural anesthesia can achieve good analgesic effects,with few adverse reactions,and is worthy of promotion.