舒芬太尼联合罗哌卡因硬膜外麻醉对无痛分娩产妇的影响  

Impact of Epidural Anesthesia with Sufentanil Combined with Ropivacaine on Parturients Undergoing Painless Childbirth

作　　者：韩宇 张翔[1] 张新峰[1] 谢世杰 HAN Yu;ZHANG Xiang;ZHANG Xinfeng;XIE Shijie(Department of Anesthesiology,Xinjiang Production and Construction Corps First Division Hospital,Aksu 843000,China)

机构地区：[1]新疆生产建设兵团第一师医院麻醉科,新疆阿克苏843000

出　　处：《反射疗法与康复医学》2024年第20期78-80,101,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨舒芬太尼联合罗哌卡因硬膜外麻醉对无痛分娩产妇的影响。方法选取2023年7月—2024年7月新疆生产建设兵团第一师医院收治的120例无痛分娩产妇为研究对象,按随机数字表法将其分为对照组(n=60)和研究组(n=60)。对照组采用罗哌卡因硬膜外麻醉,研究组采用舒芬太尼联合罗哌卡因硬膜外麻醉,比较两组的镇痛泵使用情况、疼痛程度、产程时长、不良反应发生情况。结果研究组镇痛泵按压次数为(3.64±0.69)次,少于对照组的(4.15±1.03)次,差异有统计学意义(P<0.05)。麻醉前,两组疼痛程度比较,差异无统计学意义(P>0.05);麻醉30 min后,两组数字分级评分均低于麻醉前,且研究组低于对照组,差异有统计学意义(P<0.05);宫口全开时,两组数字分级评分均低于麻醉前与麻醉30 min后,且研究组均低于对照组,差异有统计学意义(P<0.05);两组第一、第二、第三产程时长比较,组间差异无统计学意义(P>0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论舒芬太尼联合罗哌卡因硬膜外麻醉应用于无痛分娩产妇中,能够提高麻醉效果,减轻产妇疼痛,对产程时长无影响,不会增加不良反应的发生情况,安全性较高。Objective To explore the impact of epidural anesthesia with sufentanil combined with ropivacaine on parturients undergoing painless childbirth.Methods One hundred and twenty parturients undergoing painless childbirth who were admitted to Xinjiang Production and Construction Corps First Division Hospital from July 2023 to July 2024 were selected as the research objects.They were divided into a control group(n=60)and a research group(n=60)according to the random number table method.The control group was given epidural anesthesia with ropivacaine,while the research group was given epidural anesthesia with sufentanil combined with ropivacaine.The analgesic pump usage situation,the degree of pain,the duration of the labor process,and the occurrence of adverse reactions were compared between the two groups.Results The number of times the analgesic pump was pressed in the research group was(3.64±0.69)times,which was less than(4.15±1.03)times in the control group,and the difference was statistically significant(P<0.05);before anesthesia,comparison of pain levels between the two groups,and the difference was not statistically significant(P>0.05);thirty minutes after anesthesia,the scores of the Numerical Rating Scale in both groups were lower than those before anesthesia,and the scores in the research group was lower than that in the control group,and the differences were statistically significant(P<0.05);when the cervix was fully dilated,the scores of the Numerical Rating Scale in both groups were lower than those before anesthesia and 30 minutes after anesthesia,and the scores in the research group were lower than those in the control group,and the differences were statistically significant(P<0.05);comparison of the durations of the first,second and third stages of labor between the two groups,and the differences between the groups were not statistically significant(P>0.05);comparison of the incidence rates of adverse reactions between the two groups,and the difference was not statistically significant(P>0.05).Conclus

关 键 词：无痛分娩 舒芬太尼 罗哌卡因 硬膜外麻醉 

分 类 号：R714.3[医药卫生—妇产科学]