摘要
目的:观察低浓度罗哌卡因联合舒芬太尼对无痛分娩的镇痛效果。方法:选取102例足月单胎妊娠初产妇随机分为观察组和对照组各51例,观察组罗哌卡因联合舒芬太尼硬膜外麻醉阻滞,对照组采用镇痛药物,比较两组麻醉效果。结果:观察组用药后,在5、10、30、60和90min时间点VAS评分均明显小于对照组(P<0.05);两组新生儿在1、5min时Apgar评分比较无统计学意义(P>0.05);观察组镇痛满意度明显高于对照组(P<0.05)。结论:低浓度罗哌卡因联合舒芬太尼硬膜外麻醉阻滞镇痛效果起效快、持续时间长,且对新生儿无影响,使用较安全。
Objective:Toobserve the analgesic effect of low concentration ropivacaine combined with sufentanil on painless delivery.Methods:102 cases of term single pregnancy primiparas were selected and randomly divided into two groups,with 51 cases in each group.The observation group was given ropivacaine combined with sufentanil epidural anesthesia block,and the control group was given analgesic drugs,then the effect of anesthesia in the two groups were compared.Results:VAS scores at 5,10,30,60 and 90 min in the observation group were significantly lower than those in the control group(P<0.05).There was no statistically significant difference in Apgar scores at 1 and 5 min in the 2 groups(P>0.05).The analgesic satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:Low concentration ropivacaine combined with sufentanyl epidural anesthesia has fast onset and long duration of analgesia,and has no effect on neonates,with safety.
作者
郭剑蕾
Guo Jianlei(Department of Obstetrics and Gynaecology,Rongcheng District Family Planning Service Center,Jieyang 522000)
出处
《数理医药学杂志》
2020年第10期1543-1544,共2页
Journal of Mathematical Medicine
关键词
硬膜外麻醉阻滞
无痛分娩
罗哌卡因
舒芬太尼
epidural anesthesia block
painless childbirth
ropivacaine
sufentanil
