舒芬太尼复合罗哌卡因硬膜外麻醉在分娩镇痛中的应用效果  

Effect of Sufentanil Combined with Ropivacaine Epidural Anesthesia on Labor Analgesia

作　　者：赵立华[1] ZHAO Lihua(Department of Anesthesiology,Maternal and Child Health Hospital of Huantai County,Zibo,Shandong Province,256400 China)

机构地区：[1]山东省淄博市桓台县妇幼保健院麻醉科,山东淄博256400

出　　处：《系统医学》2023年第11期172-175,共4页Systems Medicine

摘　　要：目的 研究在分娩镇痛中实施舒芬太尼复合罗哌卡因硬膜外麻醉的价值。方法 选取2021年4月-2022年11月在山东省淄博市桓台县妇幼保健院分娩的产妇86例,采用抽签法分为两组,对照组43例,实施罗哌卡因硬膜外麻醉,观察组43例,实施舒芬太尼复合罗哌卡因硬膜外麻醉,对比两组镇痛效果、疼痛水平、产程时间、应激反应、Apgar评分、不良反应。结果 观察组镇痛有效率为93.02%高于对照组的72.09%,差异有统计学意义(χ^(2)=6.541,P<0.05)。两组T0时的疼痛水平比较,差异无统计学意义(P>0.05)。观察组T1、T2、T3时的疼痛水平均优于对照组,差异有统计学意义(P<0.05)。观察组产程时间明显短于对照组,差异有统计学意义(P<0.05)。两组分娩前皮质醇、心率比较,差异无统计学意义(P>0.05)。分娩后观察组皮质醇、心率均优于对照组,差异有统计学意义(P<0.05)。观察组Apgar评分高于对照组,差异有统计学意义(P<0.05)。观察组不良反应总发生率低于对照组,差异有统计学意义(P=0.044)。结论 在分娩镇痛中实施舒芬太尼复合罗哌卡因硬膜外麻醉,不但有助于提高镇痛效果,缓解疼痛和缩短产程,还有助于减少应激反应,提高Apgar评分,对于不良反应发生率的降低也有着积极影响。Objective To study the value of epidural anesthesia with sufentanil combined with ropivacaine in labor an⁃algesia.Methods 86 pregnant women who gave birth in Huantai County Maternal and Child Health Hospital,Zibo City,Shandong Province from April 2021 to November 2022 were selected and divided into two groups by lot drawing.The control group(43 cases)was given ropivacaine epidural anesthesia,and the observation group(43 cases)was given sufentanil combined with ropivacaine epidural anesthesia.The analgesic effect,pain level,labor duration,stress response,Apgar score,and adverse reactions of the two groups were compared.Results The effective rate of analgesia in the observation group(93.02%)was higher than that in the control group(72.09%),the difference was statistically significant(χ^(2)=6.541,P<0.05).There was no statistically significant difference in pain levels between the two groups at T0(P>0.05).The pain levels in the observation group at T1,T2,and T3 were better than those in the control group,the difference was statistically significant(P<0.05).The labor process time in the observation group was significantly shorter than that in the control group,and the difference was statistically significant(P<0.05).There was no statisti⁃cally significant difference in cortisol and heart rate between the two groups before delivery(P>0.05).After delivery,the observation group had better cortisol and heart rate than the control group,the difference was statistically signifi⁃cant(P<0.05).The Apgar score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group,the difference was statistically significant(P=0.044).Conclusion The implementation of epi⁃dural anesthesia with sufentanil combined with ropivacaine during labor analgesia not only helps to improve the anal⁃gesic effect,relieve pain and shorten the labor process,but also helps to red

关 键 词：舒芬太尼 罗哌卡因 分娩镇痛 硬膜外麻醉 

分 类 号：R714[医药卫生—妇产科学]