观察罗派卡因硬膜外阻滞的有效性及对产妇睡眠质量的影响  

To Observe the Effectiveness of Epidural Block of Ropivacaine and Its Effect on Sleep Quality of Puerpera

作　　者：叶建宁 YE Jianning(Marina Bay Central Hospital of Dongguan City,Dongguan 523000,China)

机构地区：[1]东莞市滨海湾中心医院,东莞523000

出　　处：《世界睡眠医学杂志》2022年第4期683-685,共3页World Journal of Sleep Medicine

摘　　要：目的:观察罗派卡因硬膜外阻滞的有效性及对产妇睡眠质量的影响。方法:选取2020年1月至2021年4月滨海湾中心医院麻醉科收治的无痛分娩产妇88例作为研究对象,按照随机数字表法分为观察组和对照组,每组44例。对照组给予常规硬膜外麻醉,观察组给予罗派卡因硬膜外麻醉,采用视觉模拟评分法(VAS)比较2组产妇分娩前、分娩后疼痛程度,采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,比较2组患者呼吸循环功能相关指标的差异。结果:与麻醉前比较,2组患者脉搏血氧饱和度(SpO_(2))、呼吸频率(RR)指标水平均较同组高,且观察组SPO_(2)、RR指标水平显著高于对照组,2组比较差异均有统计学意义(均P<0.05);分娩后,2组VAS评分均较分娩前低,且观察组VAS评分显著低于对照组,2组比较差异有统计学意义(P<0.05);分娩后,2组PSQI各维度评分较同组分娩前低,且观察组PSQI各维度评分显著低于对照组,2组比较差异有统计学意义(P<0.05)。结论:罗派卡因硬膜外阻滞用于无痛分娩产妇产程中,可稳定产妇呼吸循环,控制疼痛程度,提高分娩后的睡眠质量,值得临床推广使用。Objective:To observe the effectiveness of ropivacaine epidural block and its effect on the sleep quality of puerpera.Methods:A total of 88 cases of painless parturient women admitted to the Department of Anesthesiology of Marina Bay Central Hospital from January 2020 to April 2021 were selected as the research objects,and were divided into observation group and control group according to the random number table method,with 44 cases in each group.The control group received conventional epidural anesthesia,and the observation group received ropivacaine epidural anesthesia.Visual Analogue Scale(VAS)was used to compare the pain degree of puerpera before and after delivery between the two groups.Pittsburgh Sleep Quality Index(PSQI)was used to compare the difference of sleep quality between the two groups,and observe the difference of related indexes of respiratory and circulatory function between the 2 groups.Results:Compared with before anesthesia,the indexes of pulse oxygen saturation(SpO_(2))and respiratory rate(RR)in 2 groups were higher than those of the same group,and the indexes of SpO_(2) and RR in the observation group were significantly higher than those of the control group,the difference was statistically significant(P<0.05).After delivery,the VAS score of the two groups was lower than before delivery,and the VAS score of the observation group was significantly lower than the control group,the difference was statistically significant(P<0.05).After delivery,the scores of all dimensions of PSQI in the two groups were lower than those before delivery,and the scores of all dimensions of PSQI in the observation group were significantly lower than those of the control group,the difference was statistically significant(P<0.05).Conclusion:Ropivacaine epidural block can stabilize the respiratory circulation,control the pain degree and improve the sleep quality of puerpera during labor,which is worthy of clinical application.

关 键 词：罗派卡因 硬膜外阻滞 无痛分娩 有效性 睡眠质量 

分 类 号：R714.3[医药卫生—妇产科学] R338.63[医药卫生—临床医学]