摘要
目的探讨罗哌卡因与舒芬太尼复合硬膜外麻醉对分娩产妇镇痛效果、产程进展和母婴结局的影响。方法选取如东县中医院2022年1月—2023年1月收治的160例分娩产妇为研究对象,按照随机数字表法分为研究组与对照组,各80例。对照组采用舒芬太尼硬膜外麻醉,研究组在对照组基础上联用罗哌卡因,对比两组麻醉效果及围产期相关指标。结果研究组阴道分娩率、新生儿阿氏评分和新生儿动脉血氧饱和度、产妇丙二醛水平均高于对照组,且超氧化物歧化酶、新生儿动脉血二氧化碳分压水平及不良反应发生率均低于对照组,产妇第一、第二和第三产程时间与产后住院时间均短于对照组,产后出血量少于对照组,组间差异有统计学意义(P<0.05)。研究组麻醉后30 min、第二产程和第三产程的疼痛指数评分分别为(8.35±1.01)分、(5.12±0.50)分、(3.41±0.76)分,均低于对照组的(8.41±1.05)分、(5.23±0.44)分、(3.64±0.69)分,新生儿体重为(3.19±0.59)kg,重于对照组的(3.14±0.67)kg,组间差异无统计学意义(P>0.05)。结论罗哌卡因与舒芬太尼复合硬膜外麻醉能够有效加快产妇的产程进展,减少分娩疼痛程度和不良反应的发生,并改善母婴结局,值得临床推广应用。
Objective To investigate the effect of ropivacaine and sufentanil combined with epidural anesthesia on labor analgesia,labor progress and maternal and infant outcomes.Methods 160 puerpera who were admitted to Rudong County Hospital of Traditional Chinese Medicine from January 2022 to January 2023 were selected as the research objects.According to the random number table method,they were divided into a study group and a control group,with 80 cases in each group.The control group was treated with sufentanil epidural anesthesia,and the study group was treated with ropivacaine on the basis of the control group.The anesthetic effect and perinatal indicators of the two groups were compared.Results The vaginal delivery rate,neonatal Apachean score,neonatal arterial oxygen saturation,maternal malondialdehyde level in the study group were higher than those in the control group,and the superoxide dismutase,neonatal arterial partial pressure of carbon dioxide and the incidence of adverse reactions were lower than those in the control group.The first,second and third stages of labor and postpartum hospitalization time were shorter than those in the control group,and the amount of postpartum hemorrhage was less than that in the control group,the differences between the two groups were statistically significant(P<0.05).The pain index scores of the study group 30 min after anesthesia,the second stage of labor and the third stage of labor were(8.35±1.01)points,(5.12±0.50)points,(3.41±0.76)points,respectively,which were lower than(8.41±1.05)points,(5.23±0.44)points,(3.64±0.69)points of the control group.The neonatal weight was(3.19±0.59)kg in the control group,which was heavier than(3.14±0.67)kg in the control group,and there were no significant differences between the two groups(P>0.05).Conclusion Ropivacaine and sufentanil combined with epidural anesthesia can effectively accelerate the progress of labor,reduce the degree of labor pain and the occurrence of adverse reactions,and improve maternal and infant outcomes,whic
作者
蔡进明
CAI Jinming(Department of Anesthesia,Rudong County Traditional Chinese Medicine Hospital,Nantong Jiangsu,226400,China)
出处
《反射疗法与康复医学》
2023年第17期164-168,共5页
Reflexology And Rehabilitation Medicine
关键词
分娩镇痛
罗哌卡因
舒芬太尼
硬膜外麻醉
产程进展
母婴结局
Labor analgesia
Ropivacaine
Sufentanil
Epidural anesthesia
The progress of labor
Maternal and INFANT outcomes
