硬膜外下罗哌卡因复合舒芬太尼在无痛分娩中的应用  

作　　者：黄菲[1] 刘军武[1] 

机构地区：[1]四川省眉山市人民医院麻醉科,四川眉山620010

出　　处：《河南中医》2014年第B11期564-564,共1页Henan Traditional Chinese Medicine

摘　　要：目的探讨硬膜外下0.075%的罗哌卡因复合舒芬太尼在无痛分娩中的临床应用及安全性.方法：100 例ASAⅠ-Ⅱ 级,无过度肥胖,无穿刺标志不清者,无癔病、情绪特别紧张不合作者.随机分为A 组：无痛分娩组.B 组：自然分娩组,各50 例.记录产妇宫口开至3-4cm 后的收缩压（SBP）,舒张压（DBP）和心率（HR）及VAS 评分和新生儿的Apgar 评分.结果：无痛分娩组的生命体征平稳,VAS 评分0-3 分.新生儿的Apgar 评分在8-10 分.而自然分娩组的生命体征波动大.VAS 评分在6-10 分.新生儿的Apgar 评分在7-10 分.结论：应用硬膜外下0.075%罗哌卡因复合舒芬太尼在无痛分娩对血流动力学影响小,减轻产妇的痛苦.并最大限度地保留产妇的自主活动能力,实现“可行走的硬膜外镇痛”.ObjiectiveTo investigate the clinical application and security of 0.075% ropivacaine and sufentanil in epidural analgesia for Painless childbirth.Methods：100 cases ofpregnant women without obesity,puncture marks,hysteria,emotional tension and noncooperations;Were randomly divided into 2 groups（n=50 each）：group A is using painless childbirth;group B isusing natural childbirth.Recording systolic pressure,diastolic blood pressure,heart rates,VAS score of puerperas and neonatal apgar score when maternal palace mouth is opening to 3-4cm.Results：Comparing with Group A,Vital signs in group B is Volatility.The VAS score of puerperal in group A is 0-3 points,in group B is 6-10 points.The Apgar score is the same 7-10 points in newbornbaby.Conclusion：The 0.075% ropivacaine and sufentanil in epidural anal gesia for painless childbirth is effective in Stable hemodynamics and alleviate the pain,it’s highly security realized thewalkable epidural analgesia.

关 键 词：罗哌卡因 硬膜外麻醉 舒芬太尼 无痛分娩 

分 类 号：R782.054[医药卫生—口腔医学]