舒芬太尼联合罗哌卡因腰硬联合阻滞在中晚期孕妇引产镇痛的临床应用  

Effect with sulfentanyl and ropivacaine for combination spinal and epidural anesthesia on induced labor in the middle and late pregnancy

作　　者：郑光军[1] 杨俊华 唐莉[1] 李璟[1] 

机构地区：[1]东莞市妇幼保健院麻醉科,广东东莞523000 [2]东莞市石龙博爱医院麻醉科,广东东莞523000

出　　处：《临床医药实践》2010年第8X期1072-1074,共3页Proceeding of Clinical Medicine

摘　　要：目的:研究舒芬太尼联合罗哌卡因腰硬联合阻滞在中晚期孕妇引产的临床镇痛效果。方法:选择妊娠20～35 w、ASAⅠ～Ⅱ级、自愿而非意愿终止妊娠的中晚期孕妇共100例,随机分为A、B两组,每组50例。A组为观察组,在开始引产术后有规律宫缩、宫口开1 cm左右,采用腰硬联合阻滞镇痛模式。B组为对照组。在开始引产术后按照引产患者常规处理,不用任何镇痛药物或镇痛措施。结果:观察组镇痛效果良好,下肢运动神经阻滞轻微,产程时间、出血量、副作用等与非镇痛组相比无统计学意义。结论:舒芬太尼联合罗哌卡因腰硬联合阻滞用于中晚期引产的镇痛效果确切、安全、对机体影响轻微。Objective:To discuss the analgesic effect with sulfentanyl and ropivacaine for combination spinal and epidural anesthesia(CSEA) on induced labor in the middle and late pregnancy.Methods:100 pregnant women who had pregnanted for 20 weeks to 35 weeks(ASAⅠ~Ⅱ) were divided into two groups(experimental group A and control group B) randomly.The pregnant women in group A who received CSEA when they had contraction regularly and the external cervical was dilated to 1cm,however,there was not any intervention for group B.Results:To compare with group B,group A had better analgesic ef-fect and the degree of motor block were very light.There were no difference in the time of labor,bleeding loss and side effects between the two groups.Conclusion: the analgesic effect with sulfentanyl and ropivacaine for combination spinal and epidural anesthesia(CSEA) are efficient and safe on induced labor in the middle and late pregnancy.

关 键 词：舒芬太尼 罗哌卡因 腰硬联合麻醉 中晚期引产 镇痛 

分 类 号：R614[医药卫生—麻醉学]