摘要
目的 探究不同浓度罗哌卡因联合舒芬太尼对产妇分娩镇痛的应用效果。方法 选取60例分娩产妇,遵循随机数字表法将产妇分为对照组与研究组,各30例。对照组产妇宫口开2 cm并出现规律宫缩后联合予0.15%罗哌卡因与0.5μg/ml舒芬太尼,研究组产妇宫口开不足3 cm时联合予以0.075%罗哌卡因与0.5μg/ml舒芬太尼,并于产妇宫口开大于3 cm时联合予0.15%罗哌卡因与0.5μg/ml舒芬太尼。比较两组产妇镇痛起效时间、分娩各时刻疼痛程度及各产程时间。结果 研究组产妇镇痛起效时间(12.75±1.35)min,与对照组产妇的镇痛起效时间(13.25±1.46)min比较,差异无统计学意义(t=1.3772,P=0.1737>0.05)。研究组产妇镇痛即刻、镇痛10 min、镇痛30 min、宫口开6 cm、宫口全开时VAS评分与对照组比较,差异无统计学意义(P>0.05)。研究组产妇潜伏期、第二产程及总产程时间均短于对照组,差异有统计学意义(P<0.05),两组第一产程、第三产程比较,差异无统计学意义(P>0.05)。结论 产妇分娩镇痛中在宫口开不足3 cm时予以0.075%罗哌卡因联合0.5μg/ml舒芬太尼,并于产妇宫口开大于3 cm时予以0.15%罗哌卡因联合0.5μg/ml舒芬太尼镇痛模式,可起到更为有效的镇痛效果,并对产妇宫缩、产程等影响较小,值得临床推广与应用。
Objective To explore the effect of different concentrations of ropivacaine combined with sufentanil on analgesia during childbirth. Methods 60 parturients were selected and divided into control group and study group with 30 cases in each group according to random number table method. In the control group, 0.15% ropivacaine and 0.5 μg/ml sufentanil were combined with the uterine opening of 2 cm and regular contractions, while in the study group, 0.075% ropivacaine and 0.5 μg/ml sufentanil were combined with the uterine opening of less than 3 cm. In addition, 0.15% ropivacaine and 0.5 μg/ml sufentanil were given when the uterine opening was greater than 3 cm. The effective time of analgesia, the pain degree at each moment of labor and the duration of labor were compared between the two groups. Results The analgesic onset time in the study group was(12.75±1.35) min,and that in the control group was(13.25±1.46) min, there was no significant difference(t=1.3772, P=0.1737>0.05).Compared with the control group, there was no significant difference in VAS scores in the study group at immediate analgesia, analgesia for 10 min, analgesia for 30 min, uterine opening for 6 cm and full opening of uterine opening(P>0.05). The maternal latency period, the second stage of labor and the total stage of labor in the study group were shorter than those in the control group, the difference was statistically significant(P<0.05), while the first stage of labor and the third stage of labor in the two groups were not statistically significant(P>0.05). Conclusion The analgesic mode of 0.075% ropivacaine combined with 0.5 μg/ml sufentanil when the uterine orificium is less than 3 cm, and 0.15% ropivacaine combined with 0.5 μg/ml sufentanil when the uterine orificium is more than 3 cm, can play a more effective analgesic effect, and has less influence on the uterine contractions and labor. It is worthy of clinical promotion and application.
作者
曲行波
周庆九
Qu Xingbo;Zhou Qingjiu(Department of Anesthesiology,Huainan Maternal and Child Health Hospital,Huainan 232007,China)
出处
《实用妇科内分泌电子杂志》
2022年第20期54-56,共3页
Electronic Journal of Practical Gynecological Endocrinology
