小剂量罗哌卡因联合地佐辛腰硬联合麻醉在无痛分娩中的应用

Application of low dose ropivacaine combined with dezocine combined epidural anesthesia in painless labor

目的探究无痛分娩产妇使用小剂量罗哌卡因联合地佐辛的麻醉效果。方法择取陕西省森工医院100例无痛分娩产妇(2022年1-12月)作为研究对象,依据随机数字表法将其分成两组(每组50例),对照组:采用地佐辛注射液镇痛,观察组:采用小剂量罗哌卡因联合地佐辛腰硬联合麻醉,分析麻醉效果。结果两组T1、T2、T3时,观察组VAS评分更低,数据对比有统计学意义(P<0.05);分娩前,两组应激反应水平对比无统计学意义(P>0.05);分娩后,两组应激反应指标对比有统计学意义(P<0.05);两组第一产程、产后出血量对比,差异有统计学意义(P<0.05);两组分娩方式、不良反应发生率对比,无统计学意义(P>0.05)。结论对无痛分娩产妇采用小剂量罗哌卡因联合地佐辛腰硬联合麻醉具有较强的镇痛效果,应激反应水平明显减轻,有助于加快分娩,可推广。

Objective To explore the anesthetic effect of low dose ropivacaine combined with dezocine for parturients in painless delivery.Methods 100 women with painless delivery(from January to December in 2022)in our hospital were selected as the research objects,and divided into 50 cases in each group according to random number table method(control group:dezocine injection,observation group:lowdose ropivacaine combined with dezocine combined epidural anesthesia),and the anesthetic effect was analyzed.Results In the two groups T1,T2 and T3,the VAS score of the observation group was lower,and the data were statistically significant(P<0.05).Before delivery,there was no statistical significance in stress response level between the two groups(P>0.05).After delivery,the stress response indexes of the two groups were statistically significant(P<0.05).The first stage of labor and postpartum blood loss were significantly different between the two groups(P<0.05).There was no statistical significance in delivery mode and incidence of adverse reactions between the two groups(P>0.05).Conclusion The use of low-dose ropivacaine combined with dezocine combined lumbar epidural anesthesia for women in painless labor has a strong analgesic effect,and the stress response level is obviously reduced,which is helpful to accelerate labor and can be popularized.