罗哌卡因联合舒芬太尼腰硬联合麻醉在无痛分娩中的作用探究  

Role of ropivacaine combined with sufentanil for combined spinal epidural anesthesia in painless delivery

作　　者：王明生 WANG Ming-sheng(Department of Anesthesiology,People’s Hospital of Liaozhong District,Shenyang 110200,China)

机构地区：[1]辽宁省沈阳市辽中区人民医院手术室麻醉科,110200

出　　处：《中国实用医药》2021年第36期136-138,共3页China Practical Medicine

摘　　要：目的探究罗哌卡因联合舒芬太尼腰硬联合麻醉在无痛分娩中的作用。方法88例产妇,按照随机抽签的方法分为对照组及观察组,每组44例。对照组接受罗哌卡因联合舒芬太尼硬膜外麻醉,观察组接受罗哌卡因联合舒芬太尼腰硬联合麻醉。对比两组产妇的麻醉指标(麻醉起效时间、麻醉维持时间),分娩相关指标[视觉模拟评分法(VAS)评分、产后24 h泌乳量评分、新生儿Apgar评分],不良反应发生情况。结果观察组产妇的麻醉起效时间(3.56±0.45)min短于对照组的(6.25±2.10)min,麻醉维持时间(112.58±18.42)min长于对照组的(78.52±12.05)min,差异具有统计学意义(P<0.05)。观察组VAS评分(1.06±0.25)分低于对照组的(1.89±0.42)分,差异具有统计学意义(P<0.05);两组产后24 h泌乳量评分、新生儿Apgar评分对比,差异无统计学意义(P>0.05)。观察组不良反应发生率13.64%低于对照组的56.82%,差异具有统计学意义(P<0.05)。结论在为产妇选择无痛分娩麻醉方案时,给予其罗哌卡因联合舒芬太尼腰硬联合麻醉更能提高其麻醉效果,缓解其疼痛,降低产后不良反应,对母婴结局影响较小,有效保证分娩成功。Objective To investigate the role of ropivacaine combined with sufentanil for combined spinal epidural anesthesia in painless delivery.Methods A total of 88 parturients were divided into the control group and the observation group according to the random drawing method,with 44 cases in each group.The control group received ropivacaine combined with sufentanil for epidural anesthesia,and the observation group received ropivacaine combined with sufentanil for combined spinal epidural anesthesia.Both groups were compared in terms of anesthesia indicators(anesthesia onset time,anesthesia maintenance time),delivery-related indicators[visual analogue scale(VAS)score,24-h postpartum lactation score,neonatal Apgar score],and occurrence of adverse reactions.Results The anesthesia onset time(3.56±0.45)min of the observation group was shorter than(6.25±2.10)min of the control group,and the anesthesia maintenance time(112.58±18.42)min was longer than(78.52±12.05)min of the control group.All the differences were statistically significant(P<0.05).The VAS score(1.06±0.25)points of the observation group was lower than(1.89±0.42)points of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference between the two groups of 24-h postpartum lactation score and neonatal Apgar score(P>0.05).The incidence of adverse reactions 13.64%of the observation group was lower than 56.82%of the control group,and the difference was statistically significant(P<0.05).Conclusion When choosing an anesthetic regimen for painless delivery,ropivacaine combined with sufentanil for combined spinal epidural anesthesia can improve the anesthetic effect,relieve the pain,reduce the postpartum adverse reactions,and effectively ensure the success of delivery,and it has less impact on the maternal and infant outcomes.

关 键 词：罗哌卡因 舒芬太尼 腰硬联合麻醉 无痛分娩 

分 类 号：R714.3[医药卫生—妇产科学]