低浓度盐酸罗哌卡因复合舒芬太尼硬膜外自控分娩镇痛的效果分析  

Analysis of the effect of low-concentration ropivacaine hydrochloride combined with sufentanil in patient-controlled epidural labor analgesia

作　　者：代纯举 DAI Chun-ju(Xifeng County First Hospital,Tieling 112400,China)

机构地区：[1]西丰县第一医院,112400

出　　处：《中国实用医药》2021年第24期141-144,共4页China Practical Medicine

摘　　要：目的分析低浓度盐酸罗哌卡因复合舒芬太尼硬膜外自控分娩镇痛的应用效果。方法68例自控分娩产妇,采用双盲法分为对照组和观察组,各34例。对照组进行低浓度盐酸罗哌卡因硬膜外自控分娩镇痛,观察组进行低浓度盐酸罗哌卡因复合舒芬太尼硬膜外自控分娩镇痛。比较两组出血量及第一产程时间、第二产程时间,药物追加次数、自控镇痛(PCA)按压次数,视觉模拟评分法(VAS)评分。结果两组出血量及第一产程时间、第二产程时间比较差异均无统计学意义(P>0.05)。观察组追加次数、PCA按压次数分别为(2.23±0.63)、(2.65±0.23)次,少于对照组的(6.69±0.85)、(7.52±0.59)次,差异有统计学意义(P<0.05)。观察组宫口开至4、6、8、10 cm的VAS评分均低于对照组,差异有统计学意义(P<0.05)。观察组剖宫产率为5.88%(2/34),对照组剖宫产率为26.47%(9/34);观察组剖宫产率低于对照组,差异有统计学意义(P<0.05)。结论对自控分娩产妇实施低浓度盐酸罗哌卡因复合舒芬太尼硬膜外自控分娩镇痛,可有效降低剖宫产率,减少药物追加次数、PCA按压次数,增强整体镇痛效果,值得推荐。Objective To analyze the practical effect of low-concentration ropivacaine hydrochloride combined with sufentanil in patient-controlled epidural labor analgesia.Methods A total of 68 parturients undergoing patients-controlled labor were divided into a control group and an observation group,with 34 cases in each group.The control group received low-concentration ropivacaine hydrochloride in patient-controlled epidural analgesia,and the observation group received low-concentration ropivacaine hydrochloride combined with sufentanil in patient-controlled epidural analgesia.The blood loss,time of the first stage of labor,time of the second stage of labor,number of additional medications,frequency of patient-controlled analgesia(PCA)compressions,and visual analogue scale(VAS)score were compared between the two groups.Results There was no statistically significant difference in blood loss,time of the first stage of labor,time of the second stage of labor between the two groups(P>0.05).The number of additional medications and frequency of PCA compressions of the observation group were(2.23±0.63)and(2.65±0.23)times,which were less than(6.69±0.85)and(7.52±0.59)times of the control group,and the difference was statistically significant(P<0.05).The VAS scores of the observation group with the opening of the cervix to 4,6,8,and 10 cm were lower than those of the control group,and the difference was statistically significant(P<0.05).The cesarean section rate in the observation group was 5.88%(2/34),and the cesarean section rate in the control group was 26.47%(9/34);the cesarean section rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of low-concentration ropivacaine hydrochloride and sufentanil in patient-controlled epidural labor analgesia can effectively reduce the rate of cesarean section,reduce the number of additional medications,the frequency of PCA compressions,and enhance the overall analgesic effect.It is wort

关 键 词：盐酸罗哌卡因 舒芬太尼 硬膜外自控分娩镇痛 

分 类 号：R714.3[医药卫生—妇产科学]