地西泮联合0.1%罗哌卡因在分娩镇痛中的应用及其对产妇不良母婴结局的影响

Application of Diazepam Combined with 0.1% Ropivacaine in Labor Analgesia and Its Effect on Adverse Maternal and Infant Outcomes of Maternity

目的:探究地西泮联合0.1%罗哌卡因在分娩镇痛中的应用及其对产妇不良母婴结局的影响。方法:选取2020年1月-2022年1月南平市妇幼保健院行分娩镇痛的184例产妇为研究对象。根据随机数字表法将其分为对照组和观察组,各92例。两组进入分娩室后均给予常规护理,对照组给予0.1%罗哌卡因分娩镇痛,观察组在对照组基础上于注射罗哌卡因前先给予静脉注射地西泮注射液。比较两组镇痛前、镇痛30 min时、镇痛2 h后、宫口全开时视觉模拟疼痛量表(VAS)评分,不良母婴结局及产程时间。结果:观察组镇痛30 min时、镇痛2 h后、宫口全开时VAS评分均明显低于对照组(P<0.05)。观察组不良母婴结局发生率明显低于对照组(P<0.05)。观察组第一、第二、第三产程时间均短于对照组(P<0.05)。结论:对产妇实施地西泮联合0.1%罗哌卡因分娩镇痛,可以有效缓解疼痛,缩短产程,改善母婴结局。

Objective: To explore the application of Diazepam combined with 0.1% Ropivacaine in labor analgesia and its effect on adverse maternal and infant outcomes of maternity. Method: A total of 184 maternity who underwent labor analgesia in Nanping Maternal and Child Health Hospital from January 2020 to January 2022 were selected as the study subjects. According to the method of random number table, they were divided into control group and observation group, 92 cases in each group. Both groups were given routine care after entering the delivery room. The control group was given 0.1% Ropivacaine for labor analgesia, and the observation group was given intravenous Diazepam Injection before Ropivacaine injection on the basis of the control group. The visual analogue scale(VAS)scores before analgesia, at 30 min of analgesia, after 2 h of analgesia, and when the uterine orifice was fully opened, adverse maternal and infant outcomes, and labor process time were compared between the two groups. Result: The VAS scores in the observation group were significantly lower than those in the control group at 30 min of analgesia, after 2 h of analgesia, and when the uterine orifice was fully opened(P<0.05). The incidence of adverse maternal and infant outcomes in the observation group was significantly lower than that in the control group(P<0.05). The first, second and third stages of labor in the observation group were shorter than those in the control group(P<0.05). Conclusion: Diazepam combined with 0.1% Ropivacaine for labor analgesia can effectively relieve pain, shorten labor, and improve maternal and infant outcomes.