舒芬太尼联合罗哌卡因硬膜外麻醉在无痛分娩产妇中的应用效果

Application effects of Sufentanil combined with Ropivacaine epidural anesthesia in painless labor parturients

目的:观察舒芬太尼联合罗哌卡因硬膜外麻醉在无痛分娩产妇中的应用效果。方法:选取2022年4月至2023年4月于该院行无痛分娩的84例产妇进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各42例。对照组给予罗哌卡因行硬膜外麻醉,观察组在对照组基础上联合舒芬太尼行硬膜外麻醉。比较两组麻醉效果,不同产程时间和新生儿结局,不同产程疼痛程度[视觉模拟评分法(VAS)]评分,以及不良反应发生率。结果:观察组麻醉持续时间长于对照组,完全阻滞时间和镇痛起效时间均短于对照组,差异有统计学意义(P<0.05);观察组第一、二、三产程时间均短于对照组,差异有统计学意义(P<0.05);两组Apgar评分比较,差异无统计学意义(P>0.05);第一、二、三产程时,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:舒芬太尼联合罗哌卡因硬膜外麻醉应用于无痛分娩产妇可延长麻醉持续时间,缩短完全阻滞时间、镇痛起效时间和第一、二、三产程时间,以及降低VAS评分的效果优于单纯罗哌卡因硬膜外麻醉效果。

Objective:To observe effects of Sufentanil combined with Ropivacaine epidural anesthesia in painless labor parturients.Methods:A prospective study was conducted on 84 parturients who underwent painless labor in this hospital from April 2022 to April 2023.They were divided into control group and observation group according to the random number table method,42 cases in each group.The control group was given Ropivacaine for epidural anesthesia,while the observation group was combined with Sufentanil for epidural anesthesia on the basis of that of the control group.The anesthetic effects,the labor time and the neonatal outcomes,the pain degree[visual analogue scale(VAS)]scores at different labor stages,and the incidence of adverse reactions were compared between the two groups.Results:The duration of anesthesia in the observation group was longer than that in the control group,the complete block time and the onset time of analgesia were shorter than those in the control group,and the differences were statistically significant(P<0.05).The first,second and third stages of labor in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the Apgar score between the two groups(P>0.05).In the first,second and third stages of labor,the VAS scores of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Sufentanil combined with Ropivacaine epidural anesthesia for painless labor can prolong the duration of anesthesia,shorten the complete block time,the analgesic onset time and the time of the first,second and third stages of labor,and reduce the VAS scores.Moreover,it is superior to single Ropivacaine epidural anesthesia.