摘要
目的:观察低浓度罗哌卡因单独或复合舒芬太尼用于硬膜外分娩镇痛的镇痛效果及对母婴的影响。方法:将要求自然分娩初产妇200例随机分成2组,每组各100例。R组采用0.15%罗哌卡因,S组采用0.15%罗哌卡因加0.5μg/mL舒芬太尼混合液,均采用硬膜外分娩镇痛。另随机抽取同期要求自然分娩但不采用分娩镇痛的初产妇100例作为对照组C组。观察各组镇痛效果、产程时间、运动神经阻滞情况、分娩方式、产后出血、胎儿及新生儿情况。结果:R与S组镇痛效果确切。与C组比较,R组、S组活跃期时间缩短、剖宫产率降低(P<0.05)。与R组比较,S组VAS评分低(P<0.05)。3组助产率、产后出血、胎儿及新生儿情况比较无显著性差异(P>0.05)。结论:低浓度罗哌卡因复合舒芬太尼镇痛效果优于单用罗哌卡因镇痛效果,并且对母婴均安全有效。
Objective：To observe the effects of low concentration of ropivacaine alone or combined sufentanil on epidural analgesia in labor and the impacting of the mother and child.Methods：200 cases of natural childbirth primipara were randomly divided into two groups（n=100）： R group was treated with 0.15% ropivacaine,S group was treated with 0.15% ropivacaine plus 0.5μg/mL sufentanil mixture for epidural analgesia in labor.And in the same time 100 cases of natural childbirth primipara without epidural analgesia were randomly selected as a control group C.Analgesic effect,labor time,motor nerve block situation,mode of delivery,postpartum hemorrhage,fetal and neonatal conditions were observed in each group.Results：The analgesic effects were significantly observed in R and S Group.Compared with the control group,the active period of time were shortened in R or S group,the cesarean section rate were decreased（P0.05）.Compared with the R group,VAS scores in S group were less than that in the R group（P0.05）.The rate of midwifery,postpartum hemorrhage,fetal and neonatal conditions had no statistically significant difference among the three groups（P0.05）.Conclusion：The analgesic effects of low concentrations of ropivacaine combined with sufentanil analgesia outweigh than ropivacaine alone,and have no harm to the mother and child.
出处
《现代临床医学》
2011年第3期179-181,共3页
Journal of Modern Clinical Medicine
