罗哌卡因联合舒芬太尼硬膜外麻醉对可行走无痛分娩阵镇痛的效果研究
Study on the analgesic effect of ropivacaine combined with sufentanil in epidural anesthesia on walk on painless labor
徐文平 1刘林 1肖飞 1张小敏 1钱晶1
作者信息
- 1. 嘉兴学院附属妇儿医院/嘉兴市妇幼保健院 麻醉科,浙江 嘉兴 314000
- 折叠
摘要
目的 探讨罗哌卡因联合舒芬太尼硬膜外麻醉对可行走无痛分娩镇痛效果研究.方法 选取2014年2月～2015年1月本院收治的足月妊娠产妇134 例作为研究对象,按其分娩镇痛方式进行分组,对照组61 例采用常规分娩;研究组73 例采用可行走无痛分娩.采用视觉模拟评分法(VAS)于产妇活跃期(第1 产程)、第2 产程及第3 产程评价比较产妇疼痛状况,采用改良的Bromage分级(MBS)评价运动神经阻滞状况.结果 研究组剖宫产率低于对照组( P<.0.05);研究组在第1产程、第2产程、第3产程中VAS评分均低于对照组;研究组在第1产程、第2产程中产程时长均低于对照组,2组下肢运动神经阻滞情况比较差异无统计学意义.结论 可行走式无痛分娩对产妇镇痛效果显著,可显著降低产妇各个产程的疼痛程度及分娩时间,产后并发症较少.
Abstract
Objective To explore the analgesic effect of ropivacaine combined with sufentanil in epidural anesthesia on walk on painless labor.Methods 134 cases of maternal pregnancy were selected and randomly divided into two groups.61 cases were treated with conventional delivery,73 cases in the experiment group were treated with walk on painless labor.The visual analogue scale and improved Bromage classification score were compared at the first stage of labor,the second stage of labor,the third stage of labor.Results Compared with the control group,the rate of cesarean section was higher(P<0.05),The visual analogue scale was higher at the first stage of labor,the second stage of labor,the third stage of labor,the duration of labor were lower at the first stage of labor,the second stage of labor,the third stage of labor(P<0.05),and there was no significant difference between the two groups in the motor nerve block.Conclusion Ambulatory labor analgesia on maternal effect significantly,can significantly reduce the pain degree of maternal birth process and deliverry time,postpartum less complications.
关键词
罗哌卡因/舒芬太尼/硬膜外麻醉/可行走无痛分娩Key words
ropivacaine/sufentanil/epidural anesthesia/painless childbirth walking引用本文复制引用
基金项目
嘉兴市科技局科技计划项目(2015AY23036)
嘉兴市科技局科技计划项目(2016BY28031)
出版年
2017
NETL
NSTL
维普
万方数据