罗哌卡因复合舒芬太尼在潜伏期硬膜外镇痛对初产妇产程影响  

Effect of Ropivacaine Combined with Sufentanil on the Birth Process of Primiparas with Epidural Analgesia in the Incubation Period of Labor

作　　者：杨思丽 Yang Sili(Department of Obstetrics,The First People's Hospital of Dali City,Dali,Yunnan 671000,China)

机构地区：[1]大理市第一人民医院产科,云南大理671000

出　　处：《大理大学学报》2024年第10期44-47,共4页Journal of Dali University

摘　　要：目的:探讨不同时期罗哌卡因复合舒芬太尼自控硬膜外分娩镇痛对初产妇产程进展和分娩结局的影响。方法:以2021年1月至12月在大理市第一人民医院产科自然分娩的240例初产妇为研究对象,根据分娩采用的干预方式将其随机分为3组,即:潜伏期分娩镇痛组(A组)、活跃期分娩镇痛组(B组)和对照组(C组),每组80例。比较3组的产程时间、母婴结局及分娩情况。结果:3组产妇仅第一产程时间差异有统计学意义(P<0.05);在泌乳开始时间和视觉模拟评分法评分方面,A组和B组的表现均显著优于C组,组间比较差异有统计学意义(P<0.05);在3组产妇中,A组的顺产率最高,剖宫产率、羊水污染率及侧切率最低,组间比较差异均有统计学意义(P<0.05)。结论:采取分娩镇痛措施对自然分娩初产妇产程影响较小,尤其是在潜伏期给予硬膜外分娩镇痛,可显著缩短产程,提高自然分娩率,降低剖宫产率,改善妊娠结局。Objective:To explore the effect of self-controlled epidural analgesia with ropivacaine and sufentanil at different stages on labor progression and delivery outcomes in primiparas.Methods:A total of 240 primiparas who underwent natural delivery at the Department of Obstetrics at the First People's Hospital of Dali City from January to December 2021 were randomly divided into three groups based on the timing of analgesia intervention:the incubation period analgesia group(group A),the active phase analgesia group(group B),and the control group(group C),with 80 cases in each group.Labor duration,maternal and neonatal outcomes,and delivery conditions were compared among the three groups.Results:Significant differences were observed only in the duration of the first stage of labor among the three groups(P<0.05).Group A and group B showed significantly better results than group C in terms of the time to initiation of lactation and visual analog scale(VAS)scores,with statistically significant differences(P<0.05).Among the three groups,group A had the highest rate of spontaneous vaginal delivery and the lowest rates of cesarean section,amniotic fluid contamination,and lateral episiotomy,with statistically significant differences(P<0.05).Conclusion:Epidural analgesia interventions during labor have minimal impact on the labor process of primiparas undergoing natural delivery.Epidural analgesia administered during the incubation period can significantly shorten labor duration,increase the rate of spontaneous vaginal delivery,reduce the cesarean section rate,and improve pregnancy outcomes.

关 键 词：自控硬膜外镇痛 罗哌卡因 舒芬太尼 初产妇 潜伏期 

分 类 号：R714.3[医药卫生—妇产科学]