罗哌卡因联合舒芬太尼在无痛分娩产妇中的价值研究

Study on the Value of Ropivacaine Combined with Sufentanil in Painless Delivery

目的本次研究旨在分析罗哌卡因联合舒芬太尼在无痛分娩中的价值。方法将2018年6月至2019年6月于我院实施无痛分娩的60例产妇纳为此次研究对象,进行随机数字表法分组,分为对照组及试验组,各30例,其中对照组采用利多卡因联合舒芬太尼进行麻醉,试验组则选用罗哌卡因联合舒芬太尼进行麻醉。对比经不同麻醉处理后,两组无痛分娩产妇的的麻醉效果,对其产后12 h、24 h疼痛评分、24 h出血量以及分娩结局进行记录和对比。结果试验组产妇产后24 h出血量显著少于对照组,组间数据比较差异显著(P<0.05);试验组产后12 h、24 h的VAS评分也显著低于对照组,组间数据比较差异显著(P<0.05);试验组产妇自然分娩率显著高于对照组,且剖宫产率显著低于对照组,组间数据比较差异显著(P<0.05)。结论在产妇无痛分娩麻醉药物的选择上,罗哌卡因联合舒芬太尼是较为理想的选择,其麻醉效果突出,能够显著降低生产疼痛以及产后出血,有效改善分娩结局,可在临床中予以推广应用。

Objective This study aims to analyze the value of ropivacaine combined with sufentanil in painless delivery.Methods Sixty cases of parturient women who delivered painlessly in our hospital from June 2018 to June 2019 were randomly divided into control group and experimental group with 30 cases in each group,in which lidocaine combined with sufentanil was used for anesthesia in the control group,while ropivacaine combined with sufentanil was used for anesthesia in the experimental group,and their pain scores,24-hour blood loss and delivery were evaluated at 12 and 24 hours after delivery the results were recorded and compared.Results The 24 hours postpartum hemorrhage in the experimental group was significantly less than that in the control group,and there was a significant difference between the groups(P<0.05).The VAS scores of the experimental group at 12 hours and 24 hours postpartum were also significantly lower than those of the control group,with significant differences between the groups(P<0.05).The rate of natural childbirth in the experimental group was significantly higher than that in the control group,and the rate of cesarean section was significantly lower than that in the control group,with significant differences between groups(P<0.05).Conclusion The combination of ropivacaine and sufentanil is undoubtedly an ideal choice for painless delivery.Its anesthesia effect is outstanding,which can significantly reduce production pain and postpartum hemorrhage,effectively improve delivery solution,and can be widely used in clinical practice.