舒芬太尼联合罗哌卡因椎管内麻醉在无痛分娩中的效果分析  

Analysis of the effect of sufentanil combined with ropivacaine intravertebral anesthesia in painless delivery

作　　者：陈平[1] 刘迎春 朱燕 朱菁 CHEN Ping;LIU Ying-chun;ZHU Yan(Department of Anesthesiology,Yizheng Hospital of Traditional Chinese Medicine,Yizheng 211400,China)

机构地区：[1]仪征市中医院麻醉科,211400

出　　处：《中国实用医药》2022年第24期27-30,共4页China Practical Medicine

摘　　要：目的探讨产妇无痛分娩过程中采取舒芬太尼联合罗哌卡因椎管内麻醉的效果与安全性。方法158例行无痛分娩的产妇,根据分娩时间先后顺序分为对照组(2020年6月~2021年6月)与观察组(2021年7~12月),每组79例。对照组产妇单纯给予罗哌卡因椎管内麻醉,观察组产妇实施舒芬太尼联合罗哌卡因椎管内麻醉。比较两组分娩方式、产程时间、镇痛起效时间及完全阻滞时间、麻醉后不同时间点的镇痛效果、不良妊娠结局发生情况。结果观察组产妇自然分娩率86.08%高于对照组的68.35%,差异具有统计学意义(P<0.05)。观察组产妇的第一、二、三产程及总产程时间分别为(282.48±25.23)、(52.35±8.29)、(5.25±1.04)、(340.08±21.84)min,均短于对照组的(335.94±25.91)、(72.08±8.33)、(8.75±1.12)、(416.77±21.91)min,差异具有统计学意义(P<0.05)。观察组产妇镇痛起效时间(5.83±1.27)min、完全阻滞时间(11.31±2.09)min均短于对照组的(10.12±1.33)、(19.02±2.13)min,差异具有统计学意义(P<0.05)。观察组产妇麻醉后10、30、60 min及宫口全开时的视觉模拟评分法(VAS)评分分别为(2.51±0.23)、(1.14±0.12)、(0.72±0.18)、(1.19±0.15)分,均低于对照组的(4.61±0.31)、(1.74±0.16)、(2.31±0.14)、(3.05±0.17)分,差异具有统计学意义(P<0.05)。观察组产妇不良妊娠结局发生率2.94%低于对照组的18.52%,差异具有统计学意义(P<0.05)。结论产妇无痛分娩选用舒芬太尼联合罗哌卡因椎管内麻醉能够有效缩短分娩产程,提高镇痛效果,改善分娩结局,值得运用推广。Objective To discuss the effect and safety of sufentanil combined with ropivacaine intravertebral anesthesia in painless delivery.Methods A total of 158 puerperae who underwent painless delivery were divided into control group(June 2020-June 2021)and observation group(July-December 2021)according to the order of delivery time,with 79 cases in each group.The control group received ropivacaine alone for spinal anesthesia,while the observation group received sufentanil combined with ropivacaine for spinal anesthesia.The mode of delivery,duration of labor,onset time of analgesia and complete block time,the analgesic effect at different time points after anesthesia,and occurrence of adverse pregnancy outcomes were compared between the two groups.Results The natural delivery rate 86.08%in the observation group was higher than 68.35%in the control group,and the difference was statistically significant(P<0.05).The first,second and third stage of labor and total labor in the observation group were(282.48±25.23),(52.35±8.29),(5.25±1.04)and(340.08±21.84)min,which were shorter than(335.94±25.91),(72.08±8.33),(8.75±1.12)and(416.77±21.91)min in the control group,and the differences were all statistically significant(P<0.05).The onset time of analgesia(5.83±1.27)min and the complete block time(11.31±2.09)min of the observation group were shorter than(10.12±1.33)and(19.02±2.13)min of the control group,and the differences were all statistically significant(P<0.05).The visual analogue scoring method(VAS)scores in the observation group were(2.51±0.23),(1.14±0.12),(0.72±0.18)and(1.19±0.15)points at 10,30 and 60 min after anesthesia and at full opening of the uterus,which were lower than(4.61±0.31),(1.74±0.16),(2.31±0.14)and(3.05±0.17)points in the control group,and the differences were all statistically significant(P<0.05).The incidence of adverse pregnancy outcomes 2.94%in the observation group was lower than 18.52%in the control group,and the difference was statistically significant(P<0.05).Conclusion Applicati

关 键 词：舒芬太尼 罗哌卡因 椎管内麻醉 无痛分娩 镇痛效果 

分 类 号：R714.3[医药卫生—妇产科学]