盐酸罗哌卡因联合舒芬太尼硬膜外麻醉应用于产妇分娩镇痛的临床效果探讨

Clinical efficacy of ropivacaine hydrochloride combined with sufentanil epidural anesthesia for postpartum analgesia

目的分析在产妇分娩镇痛中采用盐酸罗哌卡因联合舒芬太尼硬膜外麻醉方案的效果。方法选取82例拟行分娩镇痛的产妇,通过随机数字表法分为对照组与研究组,各41例。研究组产妇采用盐酸罗哌卡因联合舒芬太尼硬膜外麻醉,对照组产妇采用盐酸罗哌卡因硬膜外麻醉。对比两组麻醉效果。结果研究组第一、二、三产程的疼痛视觉模拟评分(VAS)均低于对照组(P<0.05)。两组第三产程、产后2h出血量及新生儿出生5min的Apgar评分对比,差异无统计学意义(P>0.05),研究组第一、二产程时间均短于对照组(P<0.05)。两组不良反应发生率对比,差异无统计学意义(P>0.05)。结论采用盐酸罗哌卡因联合舒芬太尼硬膜外麻醉方案可有效提升产妇的分娩镇痛效果,缩短产程时间,且安全性良好。

Objective To analyze the effect of ropivacaine hydrochloride and sufentanil epidural anesthesia during labor and delivery.Methods 82 parturients were selected and divided into a control group and a study group(41 cases each)by random number table method.The women in the study group received ropivacaine hydrochloride combined with sufentanil epidural anesthesia,and the women in the control group received ropivacaine hydrochloride epidural anesthesia.The anesthetic effect of the two groups was compared.Results The pain analogue scale(VAS)scores of the first,second and third stages of labor in the study group were lower than those in the control group(P<0.05).There were no significant differences,in the third stage of labor,2 h postpartum blood loss and Apgar score 5 min after birth between the two groups(P>0.05).The first and second stages of labor in the study group were shorter than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The use of ropivacaine hydrochloride and sufentanil epidural anesthesia can effectively improve the analgesic effect of labor,shorten the labor time,and have good safety.