摘要
目的分析无痛分娩产妇应用罗哌卡因复合瑞芬太尼腰硬联合麻醉和硬膜外麻醉的效果以及对产妇生命体征的影响。方法将83例行无痛分娩的产妇随机分为观察组(42例,罗哌卡因复合瑞芬太尼腰硬联合麻醉)与对照组(41例,罗哌卡因复合瑞芬太尼硬膜外麻醉)。比较两组产妇的镇痛效果以及生命指征。结果观察组T1、T2、T3、T4时刻NRS评分均显著低于对照组(P<0.05)。与T0时刻比较,两组T1、T3时刻HR均升高,但观察组低于对照组(P<0.05);与T0时刻比较,两组T1、T3时刻SBP、DBP均降低,但观察组高于对照组(P<0.05)。结论无痛分娩产妇应用罗哌卡因复合瑞芬太尼腰硬联合麻醉镇痛效果好,且能维持产妇生命体征的平稳。
Objective To analyze the effect of ropivacaine combined with remifentanil combined spinal-epidural anesthesia and epidural anesthesia on painless delivery and its influence on the vital signs of parturients. Methods Eighty-three parturients who undergoing painless delivery were randomly divided into observation group (42 cases, ropivacaine combined with remifentanil combined spinal-epidural anesthesia) and control group (41 cases, ropivacaine combined with remifentanil epidural anesthesia). The analgesic effects and the vital signs of the two groups were compared. Results The NRS scores at T1, T2, T3 and T4 in the observation group were significantly lower than those in the control group (P<0.05). Compared with T0, HR at T1 and T3 increased in both groups, but those in the observation group were lower than the control group (P<0.05);compared with T0, SBP and DBP at T1 and T3 decreased in both groups, but those in the observation group were higher than the control group (P<0.05). Conclusion The ropivacaine combined with remifentanil combined spinal-epidural anesthesia for painless parturients has a good analgesic effect, and it can maintain the stability of the vital signs of parturients.
作者
梁艳伟
刘莉
LIANG Yan-wei;LIU Li(the Third Hospital of Weinan, Weinan 714100;the New Rural Cooperative Medical Center of Weinan Huazhou District, Weinan 714000, China)
出处
《临床医学研究与实践》
2019年第19期59-60,共2页
Clinical Research and Practice
关键词
罗哌卡因
瑞芬太尼
无痛分娩
ropivacaine
remifentanil
painless delivery
