摘要
目的:探讨舒芬太尼与芬太尼复合罗哌卡因在分娩镇痛中的效果及对产妇并发症的影响。方法:选取2019年4月-2021年4月于莆田市第一医院分娩的足月妊娠孕妇86例,按随机数字表法分为两组,各43例。对照组予以芬太尼复合罗哌卡因镇痛,观察组予以舒芬太尼复合罗哌卡因镇痛,分娩结束后停药。比较两组镇痛效果。结果:两组麻醉前(T_(0))、给药10 min(T_(1))、给药60 min(T_(2))及给药120 min(T_(3))心率(HR)、平均动脉压(MAP)水平比较,差异无统计学意义(P>0.05);观察组T_(1)、T_(2)及T_(3)时的视觉模拟评分法(VAS)评分别为(2.85±0.36)、(1.96±0.28)、(1.58±0.22)分,低于对照组的(3.47±0.45)、(2.54±0.32)、(2.03±0.25)分,差异有统计学意义(P<0.05);两组产程及新生儿Apgar评分比较,差异无统计学意义(P>0.05);观察组并发症发生率为4.65%,低于对照组的18.60%,差异有统计学意义(P<0.05)。结论:舒芬太尼与芬太尼复合罗哌卡因在分娩镇痛中均不会明显影响产妇生命体征,而舒芬太尼复合罗哌卡因镇痛效果更强,且并发症发生风险低,值得广泛应用。
Objective:To investigate the effect of Sufentanil and Fentanyl combined with Ropivacaine in labor analgesia and its effect on maternal complications.Method:A total of 86 full-term pregnant women who gave birth in Putian First Hospital from April 2019 to April 2021 were selected and divided into two groups according to the random number table method,with 43 cases in each group.The control group was given Fentanyl combined with Ropivacaine for analgesia,and the observation group was given Sufentanil combined with Ropivacaine for analgesia,and the drug was discontinued after delivery.The analgesic effects of the two groups were compared.Result:The heart rate(HR)and mean arterial pressure(MAP)levels before anesthesia(T_(0)),10 minutes of administration(T_(1)),60 minutes of administration(T_(2)),and 120 minutes of administration(T_(3))between the two groups were not significantly different(P>0.05).The visual analog scale(VAS)scores of the observation group at T_(1),T_(2)and T_(3)were(2.85±0.36),(1.96±0.28),and(1.58±0.22)points,which were lower than(3.47±0.45),(2.54±0.32),and(2.03±0.25)points of the control group,and there were statistically differences in the two groups(P<0.05).There were no statistically differences between the two groups in delivery process and neonatal Apgar scores(P>0.05).The incidence of complications in the observation group was 4.65%,which was lower than 18.60%in the control group,with a statistically significant difference(P<0.05).Conclusion:Sufentanil and Fentanyl combined with Ropivacaine did not obvious affect maternal vital signs in labor analgesia,while Sufentanil combined with Ropivacaine has stronger analgesic effect and lower risk of complications,worthy of wide application.
作者
陈海
CHEN Hai(Putian First Hospital,Putian 351100,China)
出处
《中外医学研究》
2022年第10期120-123,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
