罗哌卡因对自然分娩后产妇会阴部疼痛的镇痛效果  

Analgesic effect of ropivacaine on perineal pain in parturients after natural delivery

作　　者：徐琦 孙燕[1] XU Qi;SUN Yan(Anesthesiology Department,Women and Infants Hospital of Zhengzhou,Zhengzhou 450012,China)

机构地区：[1]郑州市妇幼保健院麻醉科,河南郑州450012

出　　处：《临床医学研究与实践》2024年第12期107-110,共4页Clinical Research and Practice

摘　　要：目的 探讨罗哌卡因对自然分娩后产妇会阴部疼痛的镇痛效果。方法 选取2021年1月至2022年1月我院收治的121例单胎足月产妇作为研究对象,按照随机数字表法将其分为对照组(61例)和观察组(60例)。侧切会阴前5 min和产后修补会阴前5 min,对照组采取利多卡因局部浸润麻醉,观察组采取罗哌卡因局部浸润麻醉。比较两组的产后不同时间镇痛效果、日常活动疼痛情况、新生儿出生情况、满意度及恢复情况。结果 产后2、6、8、12 h,观察组的视觉模拟评分法(VAS)评分低于对照组,差异具有统计学意义(P<0.05);产后24 h,两组的VAS评分比较,差异无统计学意义(P>0.05)。产后10 h,观察组的坐立、排尿、睡眠VAS评分低于对照组,差异具有统计学意义(P<0.05)。娩出后1、5、10 min,两组的新生儿Apgar评分比较,差异无统计学意义(P>0.05)。观察组的满意度为95.00%,高于对照组的81.97%,差异具有统计学意义(P<0.05)。观察组的再次应用镇痛药、产后3 d影响活动占比低于对照组,差异具有统计学意义(P<0.05);两组的尿潴留、伤后愈合不良占比比较,差异无统计学意义(P>0.05)。结论 罗哌卡因局部浸润麻醉不仅可以为自然分娩产妇提供更有效、更持久的镇痛效果,改善产妇的日常活动疼痛情况,提高满意度,而且具有一定的安全性。Objective To investigate the analgesic effect of ropivacaine on perineal pain in parturients after natural delivery.Methods A total of 121 full-term singleton parturients admitted in our hospital from January 2021 to January 2022 were selected as the research objects and divided into control group(61 cases)and observation group(60 cases)according to the random number table method.Five min before lateral episiotomy and 5 min before postpartum perineal repair,the control group was given lidocaine local infiltration anesthesia,and the observation group was given ropivacaine local infiltration anesthesia.The analgesic effect at different time after delivery,daily activity pain,neonatal birth,satisfaction and recovery were compared between the two groups.Results At 2,6,8 and 12 h after delivery,the Visual Analogue Scale(VAS)score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05);At 24 h after delivery,there was no significant difference in VAS score between the two groups(P>0.05).At 10 h after delivery,the VAS scores of sitting,urination and sleep in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).At 1,5 and 10 min after delivery,there was no significant difference in neonatal Apgar score between the two groups(P>0.05).The satisfaction of the observation group was 95.00%,which was higher than 81.97%of the control group,and the difference was statistically significant(P<0.05).The proportion of re-application of analgesics and postpartum 3 d affecting activities in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05);there was no significant difference in the proportion of urinary retention and poor healing after injury between the two groups(P>0.05).Conclusion Ropivacaine local infiltration anesthesia can not only provide more effective and lasting analgesic effect for natural delivery parturients,impro

关 键 词：罗哌卡因 利多卡因 局部浸润 会阴疼痛 

分 类 号：R714.3[医药卫生—妇产科学]