小剂量罗哌卡因复合舒芬太尼不同麻醉方式用于无痛分娩的临床镇痛效果比较研究  

Clinical effect of small doses PP composite sufentanil different anesthesia methods of Analgesia Epidural

作　　者：高庆[1] Gao Qing(Maternal and Child Health Care Hospital of Chenghua District, Chengdu City, Sichuan Province, Chengdu 610000, China)

机构地区：[1]成都市成华区妇幼保健院,四川成都610000

出　　处：《医药前沿》2016年第31期15-16,共2页Journal of Frontiers of Medicine

摘　　要：目的：通过对我院施行无痛分娩的产妇分娩的情况进行回顾性分析，探讨小剂量罗哌卡因复合舒芬太尼不同麻醉方式用于无痛分娩的临床镇痛效果，并且予以比较。方法：选择我院2015年1月--2016年1月施行无痛分娩的产妇作为研究对象，一共80例，随机分组为观察组和对照组，各40例，对照组采用硬膜外麻醉方式进行无痛分娩，观察组采用腰硬联合麻醉进行无痛分娩。观察和比较两组患者的分娩疼痛程度。结果：与对照组对比，观察组各个时点的VAs评分明显更低，数据比较差异存在统计学意义，P〈0．05。结论：与硬膜外麻醉方式对比，采用小剂量罗哌卡因复合舒芬太尼腰硬联合麻醉进行无痛分娩，具有更加明确的镇痛效果，镇痛发挥时间快，维持时间较长，可作为无痛分娩麻醉方案的较佳选择，值得临床广泛应用以及推广。Objective Through our performing epidural maternity cases were retrospectively analyzed, discusses small doses, pp composite sufentanil because different used in the clinical analgesic effect of epidural anesthesia way, and to be compared. Methods From January 2015 - January 2016 the painless childbirth puerpera as the research object, a total of 80 cases, randomly assigned to observation group and control group, each group of 40 cases, control group adopts the way of epidural anesthesia in painless childbirth, observation group with waist hard joint anesthesia epidural. Observe and compare two groups of patients with the degree of labor pain. Results Compared with control group and observation group each point VAS score significantly lower, data comparison difference there is statistical significance, P ~ 0.05. Conclusion Compared with epidural anesthesia method, using small doses of luo pp composite sufentanil paid hard lumbar epidural combined anesthesia, has a more definite analgesic effect, effect play fast, keep for a long time, can be used as epidural anesthesia scheme is better choice, worth clinical wide application and promotion.

关 键 词：小剂量罗哌卡因 舒芬太尼 不同麻醉方式 无痛分娩 临床镇痛效果 

分 类 号：R614[医药卫生—麻醉学]