罗哌卡因复合舒芬太尼连续蛛网膜下腔阻滞在全产程分娩镇痛中的临床应用  

Clinical application of Ropivacaine combined with Sufentanil for continuous subarachnoid block in labor analgesia

作　　者：冯春晶[1] FENG Chun-jing(Department of Anesthesiology,Dalian Maternal and Child Health Hospital Affiliated to Dalian Medical University,Liaoning Province,Dalian 116002,China)

机构地区：[1]大连医科大学附属大连妇幼保健院麻醉科,辽宁大连116002

出　　处：《中国当代医药》2021年第1期174-176,共3页China Modern Medicine

摘　　要：目的探究罗哌卡因复合舒芬太尼连续蛛网膜下腔阻滞在全产程分娩镇痛中的应用效果。方法选取大连医科大学附属大连妇幼保健院2019年1~12月分娩的100例产妇为研究对象,依据随机数字表法分为A组和B组,各50例。A组采用罗哌卡因复合舒芬太尼连续蛛网膜下腔阻滞镇痛,B组产妇仅接受罗哌卡因连续蛛网膜下腔阻滞镇痛,比较两组产妇的产程持续时间、疼痛评分、镇痛起效时间与首次镇痛维持时间、不良反应发生率。结果A、B两组产妇的第一产程、第二产程持续时间比较,差异无统计学意义(P>0.05);A组镇痛1 h、宫口开7~8 cm、宫口开全时的疼痛评分低于B组,差异有统计学意义(P<0.05);A组镇痛起效时间短于B组,而首次镇痛维持时间长于B组,差异均有统计学意义(P<0.05);A、B两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论罗哌卡因复合舒芬太尼连续蛛网膜下腔阻滞在全产程分娩镇痛中的镇痛效果显著,值得临床推广。Objective To explore the application effect of continuous subarachnoid block of Ropivacaine combined with Sufentanil in labor analgesia during labor.Methods A total of 100 pregnant women who delivered in the Dalian Maternal and Child Health Hospital Affiliated to Dalian Medical University from January to December 2019 were selected as the research objects.According to the random number table method,they were divided into group A and group B,50 cases in each group.Group A used Ropivacaine combined with Sufentanil for continuous subarachnoid block analgesia.Group B received only Ropivacaine for continuous subarachnoid block analgesia.The duration of labor,pain score,onset time of analgesia,duration of first analgesia,and incidence of adverse reactions were compared in the two groups.Results There was no significant difference in the duration of the first and second stages of labor between group A and B(P>0.05);the pain scores of parturients in group A were lower than those in group B at the 1 h of analgesia,the time of 7-8 cm in uterine opening and the time of full opening in uterine orifice,the differences were statistically significant(P<0.05);the onset time of analgesia in group A was shorter than that in group B,but the duration of first analgesia was longer than that in group B,the differences were statistically significant(P<0.05);there was no significant difference in the total incidence of adverse reactions between group A and group B(P>0.05).Conclusion The continuous subarachnoid block of Ropivacaine combined with Sufentanil has a significant analgesic effect in the labor analgesia during labor,which is worthy of clinical promotion.

关 键 词：罗哌卡因复合舒芬太尼 连续蛛网膜下腔阻滞 全产程 分娩镇痛 镇痛效果 

分 类 号：R614[医药卫生—麻醉学]