罗哌卡因复合舒芬太尼自控式硬膜外分娩镇痛联合拉玛泽呼吸法在阴道分娩产妇中的应用  

Application of Ropivacaine Combined with Sufentanil Self-controlled Epidural Labor Analgesia Combined with Lamaze Breathing Method in Parturients Undergoing Vaginal Delivery

作　　者：应保培 YING Baopei(Dexing People’s Hospital,Jiangxi Province,Dexing 334200,China)

机构地区：[1]江西省德兴市人民医院,江西德兴334200

出　　处：《中国医学创新》2022年第32期51-55,共5页Medical Innovation of China

基　　金：江西省卫生计生委科技计划项目(20177319)。

摘　　要：目的:探析罗哌卡因复合舒芬太尼自控式硬膜外分娩镇痛联合拉玛泽呼吸法在阴道分娩产妇中的应用价值。方法:本研究为前瞻性研究,纳入2019年10月-2021年10月德兴市人民医院收治的79例拟经阴道分娩的待产产妇作为研究对象,用随机数字表法将待产产妇分为观察组(n=40)和对照组(n=39)。剔除中转剖宫产9例,观察组剩余35例,对照组剩余35例。对照组给予罗哌卡因复合舒芬太尼自控式硬膜外分娩镇痛,观察组在对照组基础上联合拉玛泽呼吸法干预。两组均持续干预至分娩结束。比较两组分娩疼痛情况[视觉模拟评分法(VAS)]、产程时间(第一、二、三产程和总产程)及产后并发症(产后出血、会阴损伤)。结果:相较于T_(1),两组T_(2)、T_(3)、T_(4)时VAS评分逐渐降低,且观察组各时点VAS评分均低于对照组,组间、时点、组间时间交互及T_(2)、T_(3)、T_(4)比较,差异均有统计学意义(P<0.05)。观察组第一、二、三产程及总产程时间均短于对照组,差异均有统计学意义(P<0.05)。两组产后出血发生率比较,差异无统计学意义(P>0.05),观察组会阴损伤发生率低于对照组,差异有统计学意义(P<0.05)。结论:罗哌卡因复合舒芬太尼自控式硬膜外分娩镇痛联合拉玛泽呼吸法可有效缓解阴道分娩产妇的疼痛情况,缩短产程,降低会阴损伤风险。Objective:To explore the application value of Ropivacaine combined with Sufentanil for selfcontrolled epidural labor analgesia combined with Lamaze breathing in parturients undergoing vaginal delivery.Method:This study was a prospective study,79 expectant parturients who were admitted to Dexing People’s Hospital from October 2019 to October 2021 were included as the research objects.The expectant parturients were divided into the observation group(n=40)and the control group(n=39)using the random number table method.Excluding 9 cases converted to cesarean section,35 cases were left in the observation group and 35 cases in the control group.The control group was given Ropivacaine combined with Sufentanil for self-controlled epidural labor analgesia,while the observation group was intervened by Lamaze breathing on the basis of the control group.Both groups continued to intervene until the end of delivery.The pain during childbirth[visual analogue scale(VAS)],labor duration(first,second,third and total labor stages)and postpartum complications(postpartum hemorrhage and perineal injury)were compared between the two groups.Result:Compared with T_(1),the VAS scores of the two groups on T_(2),T_(3) and T_(4) were gradually decreased,and the VAS scores of the observation group at each time point were lower than those of the control group,the time interaction between groups,time points and between groups and the comparison of T_(2),T_(3) and T_(4) were conducted,the differences were statistically significant(P<0.05).The duration of the first,second,third and total labor in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of postpartum hemorrhage between the two groups(P>0.05),while the incidence of perineal injury in the observation group was lower than that in the control group(P<0.05).Conclusion:Self controlled epidural labor analgesia with Ropivacaine combined with Sufentanil combined with Lama

关 键 词：硬膜外分娩镇痛 拉玛泽呼吸法 阴道分娩 

分 类 号：R714.3[医药卫生—妇产科学]