低浓度剂量罗哌卡因加舒芬太尼自控硬膜外分娩镇痛不同背景输注量的临床效果分析  

Clinical Effect Analysis of Low-dose Ropivacaine Plus Sufentanil Patient-controlled Epidural Labor Analgesia in Different Background Infusions

作　　者：许秀艺 贾俊香 帅斐 XU Xiuyi;JIA Junxiang;SHUAI Fei(Department of Anesthesiology,Affiliated Women and Children's Hospital of Xiamen University(Xiamen Maternity and Child Health Hospital),Xiamen,Fujian Province,361000 China)

机构地区：[1]厦门大学附属妇女儿童医院(厦门妇幼保健院)麻醉科,福建厦门361000

出　　处：《中外医疗》2021年第24期83-85,101,共4页China & Foreign Medical Treatment

摘　　要：目的评估低浓度剂量罗哌卡因相配合舒芬太尼用药自控硬膜外分娩镇痛干预时差异性背景输注剂量的镇痛情况。方法方便选取2018年1月—2020年1月该院收入且接受镇痛分娩的90例产妇纳入数据研究内容,实施分组的时候采取随机抽签方式,各30例。研究1组、研究2组、研究3组背景输注剂量依次设定6 mL、5 mL、4 mL,研究镇痛有效合计数据值、剖宫产合计数据值、对镇痛效果满意合计数据值,记录新生儿出生后1 min时、出生后5 min时Apgar评定分数值。结果研究1组镇痛有效合计数据值(96.67%)较研究2组、研究3组(80.00%、76.67%)高,差异有统计学意义(P<0.05);研究1组剖宫产合计数据值(3.33%)较研究2组、研究3组(20.00%、26.67%)低,差异有统计学意义(P<0.05);研究1组新生儿出生后1 min、出生后5 min时Apgar评定分数值(8.41±0.12)分、(9.72±0.13)分较研究2组、研究3组(8.30±0.14)分、(9.63±0.10)分及(8.24±0.10)分、(9.70±0.12)分差距较小,差异无统计学意义(P>0.05);研究1组镇痛效果满意合计数据值(100.00%)高于研究2组、研究3组(86.67%、80.00%)同,差异有统计学意义(P<0.05)。结论低浓度剂量罗哌卡因相配合舒芬太尼用药自控硬膜外分娩镇痛干预时背景输注剂量为6 mL得到的镇痛效果较优。Objective To evaluate the analgesia of different background infusion doses in low-concentration doses of ropivacaine combined with sufentanil for self-controlled epidural labor analgesia intervention.Methods Convenient selected 90 cases of parturients who received analgesic delivery from the hospital from January 2018 to January 2020 into the data research content.When the grouping was implemented,a random lottery method was adopted,and 30 cases in each group.Study 1,study 2,and study 3 background infusion doses were set 6 mL,5 mL,4 mL in sequence,study the total data value of effective analgesia,total data value of cesarean section,total data value of satisfactory analgesic effect,record the Apgar score value at 1 min after birth and 5 min after birth.Results The total data value(96.67%)of the effective analgesia in the study 1 group was higher than the specific research data(80.00%,76.67%)of the study 2 and study 3 groups,the difference was statistically significant(P<0.05);the total data value of the cesarean section in the study 1 group(3.33%)compared with the specific research data results(20.00%,26.67%)of the study 2 and study 3 groups,the difference was statistically significant(P<0.05);the Apgar score value of the newborns in the study 1 group at 1 min after birth and 5 min after birth(8.41±0.12)points,(9.72±0.13)points compared with the specific research data results of study 2 and study 3(8.30±0.14)points,(9.63±0.10)points and(8.24±0.10)points,(9.70±0.12)points,the difference was statistically significant(P>0.05);the total data value(100.00%)of study 1 group's satisfaction with the analgesic effect was higher than that of study 2 and study 3 specific research data(86.67%,80.00%),the difference was statistically significat(P<0.05).Conclusion The low-concentration dose of ropivacaine combined with sufentanil for self-controlled epidural labor analgesia intervention has a better analgesic effect with a background infusion of 6 mL.

关 键 词：低浓度 剂量 罗哌卡因 舒芬太尼 自控硬膜外分娩镇痛 输注量 

分 类 号：R714.3[医药卫生—妇产科学]