盐酸罗哌卡因联合舒芬太尼椎管内麻醉用于产妇分娩镇痛的效果及对产程的影响  

Effect of ropivacaine hydrochloride combined with sufentanil intraspinal anesthesia on labor analgesia and its influence on labor process

作　　者：苗杨[1] 张金良 雷伟[3] Miao Yang;Zhang Jinliang;Lei Wei(Department of Anesthesiology,Women and Infants Hospital of Zhengzhou,Zhengzhou 450012,China;Department of Anesthesiology,the First People 3 Hospital of Zhengzhou,Zhengzhou 450012,China;Department of Pharmacy,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,450012 [2]郑州市第一人民医院麻醉科,450012 [3]郑州市妇幼保健院药学部,450012

出　　处：《临床医学》2024年第10期28-30,共3页Clinical Medicine

基　　金：河南省医学科技攻关计划项目(LHGJ20200741)。

摘　　要：目的探讨盐酸罗哌卡因联合舒芬太尼椎管内麻醉用于产妇分娩镇痛的效果及对产程的影响。方法选择2020年4月至2023年12月在郑州市妇幼保健医院分娩的80例产妇为研究对象,按照分娩镇痛方式分为常规组与镇痛组,每组40例,常规组给予常规分娩,镇痛组行盐酸罗哌卡因联合舒芬太尼椎管内麻醉镇痛分娩。比较两组产程时间、分娩方式、产后疼痛、新生儿Apgar评分、产后并发症。结果镇痛组产程时间(第一产程、第二产程、第三产程、总产程等时间)短于常规组,自然分娩率高于常规组,产后不同时间疼痛评分低于对照组,新生儿Apgar评分高于常规组,产后并发症发生率低于常规组,差异有统计学意义(P<0.05)。结论分娩产妇采用盐酸罗哌卡因联合舒芬太尼椎管内麻醉可取得不错的麻醉效果,可缩短产程,减轻产后疼痛,提高产后新生儿Apgar评分,提高自然分娩率,减少产后并发症。Objective To investigate the effect of ropivacaine hydrochloride combined with sufentanil intravertebral anesthesia on labor analgesia and its influence on labor process.Methods A total of 80 parturients admitted to Zhengzhou Maternal and Child Health Hospital from April 2020 to December 2023 were selected as the study objects.According to the methods of labor analgesia,they were divided into conventional group and analgesia group,with 40 cases in each group.The conventional group received routine labor,and the analgesia group received ropivacaine hydrochloride combined with sufentanil intraspinal anesthesia for analgesia.Labor time,delivery mode,postpartum pain,neonatal Apgar score and postpartum complications were compared between the two groups.Results The labor time(first stage of labor,second stage of labor,third stage of labor,total stage of labor,etc.)in the analgesic group was shorter than that in the conventional group,the natural delivery rate was higher than that in the conventional group,the pain score at different time after delivery was lower than that in the control group,the neonatal Apgar score was higher than that in the conventional group,and the postpartum complication rate was lower than that in the conventional group,with significant differences(P<0.05).Conclusions The application of ropivacaine hydrochloride combined with sufentanil intravertebral anesthesia in labor analgesia is helpful to shorten labor time,reduce postpartum pain,improve postpartum Apgar score of newborns,increase natural delivery rate and reduce postpartum complications.

关 键 词：分娩镇痛 舒芬太尼 盐酸罗哌卡因 椎管内麻醉 

分 类 号：R714.3[医药卫生—妇产科学]