舒芬太尼联合罗哌卡因硬膜外麻醉用于无痛分娩效果

Effect of Sufentanil Combined with Ropivacaine Epidural Anesthesia for Painless Delivery

目的探讨舒芬太尼联合罗哌卡因硬膜外麻醉用于无痛分娩的效果。方法选取该院2019年1—12月间该院收治的100名无痛分娩产妇作为研究对象,设为研究组,采取舒芬太尼联合罗哌卡因硬膜外麻醉。另取同期正常分娩产妇100名设为对照组。比较两组产妇产程时间、剖宫产发生率、VAS评分以及新生儿Apgar评分。结果研究组第一产程要短于对照组,差异有统计学意义(t=7.302,P<0.001);研究组第二产程要短于对照组,差异有统计学意义(t=4.839,P<0.001);研究组第三产程与对照组比较差异无统计学意义(t=0.457,P=0.648)。研究组剖宫产发生率(2.00%)较对照组(9.00%)更低,差异有统计学意义(χ~2=4.714,P=0.030)。研究组VAS评分要明显低于对照组,差异有统计学意义(t=20.177,P<0.001)。研究组Apgar评分较对照组更高,差异有统计学意义(t=5.453,P<0.001)。结论舒芬太尼联合罗哌卡因硬膜外麻醉用于无痛分娩可发挥良好的镇痛作用,降低剖宫产发生率,可缩短产程时间,改善新生儿状态。

Objective To explore the effect of sufentanil combined with epidural anesthesia for painless labor.Methods 100 cases of painless delivery women in our hospital from January 2019 to December 2019 were selected as the research object.They were set as the research group,and sufentanil combined with epidural anesthesia was taken.In addition,100 normal delivery women in the same period were selected as the control group.The time of delivery,the incidence of cesarean section,the VAS score and the Apgar score of neonates were compared between the two groups.Results The first stage of labor in the study group was shorter than the control group,the difference was statistically significant(t=7.302,P<0.001);the second stage of labor in the study group was shorter than the control group(t=4.839,P<0.001);There was no significant difference,the difference was statistically significant(t=0.457,P=0.648).The incidence of cesarean section in the study group(2.00%)was lower than that in the control group(9.00%),the difference was statistically significant(χ~2=4.714,P=0.030).The VAS score of the study group was significantly lower than that of the control group(t=20.177,P<0.001).The Apgar score of the study group was higher than that of the control group,the difference was statistically significant(t=5.453,P<0.001).Conclusion Sufentanil combined with ropivacaine epidural anesthesia for painless delivery can play a good analgesic role,reduce the incidence of cesarean section,shorten the duration of labor and improve the state of the newborn.