摘要
目的探讨罗哌卡因复合舒芬太尼硬膜外自控镇痛用于分娩镇痛的临床效果及对母婴结局的影响。方法选择温县人民医院2012年1月至2014年1月收治的行分娩镇痛的足月初产妇132例,按照患者自愿原则分为对照组64例与治疗组68例。对照组不给予镇痛药物,治疗组给予硬膜外腔注入盐酸罗哌卡因与舒芬太尼混合液。观察两组的镇痛效果、第一产程时间、第二产程时间、新生儿1min、5min时的Apart评分、缩宫素使用率。结果给药前治疗组与对照组VAS评分比较差异未见统计学意义(P>0.05)。给药30min后及第一产程、第二产程VAS评分变化比较差异有统计学意义(P<0.05)。两组第一产程时间、第二产程时间、新生儿1min、5minApart评分、缩宫素使用率比较差异无统计学意义(P>0.05)。结论罗哌卡因复合舒芬太尼硬膜外自控镇痛用于分娩镇痛能有效减轻产妇疼痛,对母婴结局无不良反应,安全性好。
Objective To study the effect of ropivacaine combined with sufentanil on patient-controlled epidural analgesia for labor analgesia and the effects on maternal and neonatal outcomes. Methods One hundred and thirty two cases of full-term primiparous women underwent labor analgesia in our hospital were chosen from January 2012 to January 2014 in accordance with the principle of voluntary,and the patients were divided into the control group（ 64 cases） and the treatment group（ 68 cases）. The control group was not given analgesic drug,and the treatment group was given epidural injection of ropivacaine and sufentanil mixture. The analgesic effect of the two groups,the Apart score in the time of the first labor stage,the second labor stage,neonatal 1min and 5min Apart score,oxytocin usage were observed. Results Before drug treatment,there was no significant difference in VAS score between the two groups（ P〉 0. 05）. After drug administration of 30min and the first stage of labor,the second stage of labor,there was significant difference in VAS score between the two groups（ P 〈0. 05）. There were no significant difference in terms of Apart sorce in the first labor stage time,the second stage of labor,neonatal 1min and 5min Apart,oxytocin usage comparison between the two groups（ P〉 0. 05）. Conclusion Ropivacaine combined with sufentanil for labor analgesia can effectively and safely reduce maternal pain,and has no side effects on maternal and neonatal outcomes.
出处
《临床医学》
CAS
2015年第2期45-46,共2页
Clinical Medicine
