摘要
目的探讨罗哌卡因联合舒芬太尼硬膜外麻醉对可行走无痛分娩镇痛效果。方法将2015年2月~2018年10月在我院分娩的125例产妇按照分娩方式不同进行分组,对照组患者给常规分娩,实验组实施可行走无痛分娩,观察两组VAS评分、产程、下肢运动神经阻滞情况、并发症发生率差异。结果实验组第一产程、第二产程、第三产程的VAS评分分别为(2.41±1.09)、(2.91±1.15)、(0.89±0.22)分较对照组均明显下降(P<0.05);实验组第一产程、第二产程时间分别为(685.23±21.42)、(71.95±5.14)min明显低于对照组(P<0.05);实验组下肢运动神经阻滞明显优于对照组(P<0.05);两组不良反应发生率差异无统计学意义(P>0.05)。结论产妇应用可行走无痛分娩镇痛可缩短产程,缓解疼痛,安全性高,值得推广应用。
Objective To explore the analgesic effect of ropivacaine combined with sufentanil epidural anesthesia on walking painless labor.Methods 125 parturient women who delivered in our hospital from February 2015 to October 2018 were divided into different groups according to the mode of delivery.Patients in the control group were given routine delivery while those in the experimental group were given walking painless delivery.Difference in VAS score,labor process,motor nerve block of lower limbs and incidence of complications between two groups were observed.Results The VAS scores of the first stage of labor,the second stage of labor and the third stage of labor in the experimental group were(2.41±1.09),(2.91±1.15)and(0.89±0.22)respectively,which were significantly lower than those in the control group(P<0.05).Time for the first and second stages of labor in the experimental group were(685.23±21.42)minutes and(71.95±5.14)minutes respectively,which were significantly lower than those in the control group(P<0.05).Motor nerve block of the lower limbs in the experimental group was significantly better than that in the control group(P<0.05).There was no difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The application of walking painless labor analgesia in parturient women can shorten the labor process and relieve pain.It has high safety,which is worthy of promotion and application.
作者
张培才
陈勇
李斌飞
ZHANG Peicai;CHEN Yong;LI Binfei(Department of Anesthesiology,Zhongshan People's Hospital,Guangdong,Zhongshan 528400,China)
出处
《中国医药科学》
2019年第19期161-163,共3页
China Medicine And Pharmacy
