罗哌卡因复合舒芬太尼对分娩妇女镇痛效果及产程的影响  

Influence of Ropivacaine Combined with Sufentanil on Analgesic Efficacy and Labor Process in Parturient Women

作　　者：雷炜 杨金鹏 刘晓敏 LEI Wei;YANG Jinpeng;LIU Xiaomin(Department of Anesthesiology,Quanzhou Binhai Hospital,Quanzhou,Fujian,362300,China;Department of Ob-stetrics and Gynecology,Quanzhou Binhai Hospital,Quanzhou,Fujian,362300,China)

机构地区：[1]泉州滨海医院麻醉科,福建泉州362300 [2]泉州滨海医院妇产科,福建泉州362300

出　　处：《中外医疗》2024年第31期84-87,共4页China & Foreign Medical Treatment

摘　　要：目的分析产妇分娩应用罗哌卡因复合舒芬太尼的镇痛效果。方法便利选取2021年1月—2023年12月泉州滨海医院收治的96例妊娠产妇为研究对象,根据不同镇痛方法分为两组,各48例。对照组实施单一罗哌卡因镇痛,观察组实施罗哌卡因+舒芬太尼镇痛,对比两组产妇产程时间、镇痛效果、血流动力学指标、不良反应。结果观察组产程时间、麻醉起效时间、到达最高阻滞平面时间、痛觉恢复时间均短于对照组,差异有统计学意义(P均<0.05)。观察组镇痛后视觉模拟评分法为(2.69±0.43)分,低于照组的(4.50±0.50)分,差异有统计学意义(t=17.368,P<0.05)。镇痛后,观察组血流动力学指标优于对照组,差异有统计学意义(P<0.05)。观察组不良反应发生率为6.25%(3/48),低于对照组的22.92%(11/48),差异有统计学意义(χ2=5.352,P<0.05)。结论分娩镇痛中选择罗哌卡因+舒芬太尼进行镇痛,可减轻产妇缩短产程,疼痛程度,降低不良反应风险,维持血流动力学稳定。Objective To analyze the analgesic efficacy of ropivacaine combined with sufentanil in parturient women during labor.Methods A total of 96 pregnant women admitted to Quanzhou Binhai Hospital from January 2021 to December 2023 were conveniently selected and divided into two groups according to different analgesic methods,with 48 cases in each group.The control group was given single ropivacaine for analgesia,and the observation group was given ropivacaine+sufentanil for analgesia.The labor process time,analgesic effect,hemodynamic indicators and adverse reactions of the two groups of parturient women were compared.Results In the observation group,the labor process time,the onset time of anesthesia,the time to reach the highest block plane and the pain recovery time were all shorter than those in the control group,and the differences were statistically significant(all P<0.05).The visual analogue pain score after analgesia in the observation group was(2.69±0.43)points,which was lower than that in the control group(4.50±0.50)points,and the difference was statistically significant(t=17.368,P<0.05).After analgesia,the hemodynamic indexes of the observation group were better than those of the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was 6.25%(3/48),which was lower than that in the control group 22.92%(11/48),and the difference was statistically significant(χ²=5.352,P<0.05).Conclusion Selecting ropivacaine+sufentanil for analgesia during labor analgesia can shorten the labor process,reduce the pain degree of parturient women,reduce the risk of adverse reactions and maintain hemodynamic stability.

关 键 词：罗哌卡因 舒芬太尼 分娩镇痛 疼痛程度 血流动力学 

分 类 号：R614[医药卫生—麻醉学]