罗哌卡因腰硬联合麻醉在产妇分娩镇痛中的临床价值研究  

Study on the clinical value of ropivacaine combined epidural anesthesia in parturients labor analgesia

作　　者：王应杰 Wang Yingjie(Department of Anesthesiology,Huai'an Hospital,Huai'an 223200,China)

机构地区：[1]淮安市淮安医院麻醉科,江苏淮安223200

出　　处：《实用妇科内分泌电子杂志》2023年第20期60-62,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的研究罗哌卡因腰硬联合麻醉在产妇分娩镇痛中的临床价值。方法选取100名产妇,根据随机数字表法分为研究组与对照组,每组50名。对照组采用硬膜外麻醉,研究组采用罗哌卡因腰硬联合麻醉。比较两组产妇的疼痛感、生命体征及不良反应发生情况。结果研究组镇痛10 min、30 min、60 min疼痛评分均低于对照组(P<0.05)。镇痛30 min及停药后,研究组心率(HR)、平均动脉压(MAP)水平低于对照组,血氧饱和度(SaO_(2))水平高于对照组(P<0.05)。研究组不良反应发生率4.00%明显低于对照组的20.00%(P<0.05)。结论在产妇进行分娩镇痛时,采用罗哌卡因腰硬联合麻醉能够进一步降低产妇的疼痛感,产妇各项生命体征更稳定,安全性更高,值得临床推广。Objective To study the clinical value of ropivacaine combined epidural anesthesia in parturients analgesia during labor.Methods 1oo parturients were selected and divided into study group and control group according to random number table method,with 50 cases in each group.The control group received epidural anesthesia,and the study group received ropivacaine combined epidural anesthesia.The pain,vital signs and adverse reactions were compared between the two groups.Results Pain scores of 10 min,30 min and 60 min analgesia in the study group were lower than those in the control group(P<0.05).After 30 min of analgesia and drug withdrawal,the heart rate(HR),mean arterial pressure(MAP),levels of the study group were lower than those of the control group,and the level of blood oxygen saturation(SaO_(2))was higher than that of the control group(P<0.05).The incidence of adverse reactions in the study group(4.00%)was significantly lower than that in the control group(20.00%)(P<0.05).Conclusion During labor analgesia,ropivacaine combined with epidural anesthesia can further reduce the sense of pain,and the vital signs of the women are more stable and safer,which is worthy of clinical promotion.

关 键 词：罗哌卡因 腰硬联合麻醉 产妇分娩 临床疗效 

分 类 号：R614[医药卫生—麻醉学]