首页|探讨盐酸罗哌卡因+舒芬太尼用于硬膜外阻滞麻醉分娩镇痛的效果

探讨盐酸罗哌卡因+舒芬太尼用于硬膜外阻滞麻醉分娩镇痛的效果

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目的 观察盐酸罗哌卡因+舒芬太尼用于硬膜外阻滞麻醉分娩镇痛的效果。方法 70 例接受硬膜外阻滞麻醉分娩镇痛的产妇,以随机数字表法分成对照组和研究组,各 35 例。对照组以盐酸罗哌卡因进行麻醉,研究组以盐酸罗哌卡因+舒芬太尼进行麻醉。比较两组产妇产程、视觉模拟评分法(VAS)评分及不良反应发生情况。结果 研究组第一产程(5。68±1。39)h、第二产程(44。85±3。96)min均短于对照组的(6。73±1。42)h、(53。47±5。08)min,差异有统计学意义(P<0。05)。研究组镇痛后 5、15、30 min的VAS评分分别为(3。57±0。77)、(1。80±0。45)、(0。56±0。09)分,均低于对照组的(4。29±0。96)、(2。69±0。51)、(1。42±0。33)分,差异有统计学意义(P<0。05)。研究组不良反应发生率和对照组相比,差异无统计学意义(P>0。05)。结论 盐酸罗哌卡因+舒芬太尼用于硬膜外阻滞麻醉分娩镇痛可提升镇痛效果,缩短产程,且安全有效。
Exploring the effect of ropivacaine hydrochloride combined with sufentanil on epidural anesthesia for labor analgesia
Objective To observe the effect of ropivacaine hydrochloride combined with sufentanil on epidural anesthesia for labor analgesia.Methods A total of 70 postpartum women who received epidural anesthesia for labor analgesia were randomly divided into a control group and a study group using a random numerical table,each with 35 cases.The control group was anesthetized with ropivacaine hydrochloride,and the study group was anesthetized with ropivacaine hydrochloride and sufentanil.The duration of labor,visual analogue scale(VAS)score,and occurrence of adverse reactions were compared between the two groups.Results In the study group,the duration of the first stage of labor was(5.68±1.39)h and the duration of the second stage of labor was(44.85±3.96)min,which were shorter than(6.73±1.42)h and(53.47±5.08)min in the control group,and the difference was statistically significant(P<0.05).The VAS scores at 5,15 and 30 min of analgesia were(3.57±0.77),(1.80±0.45)and(0.56±0.09)points in the study group,which were lower than(4.29±0.96),(2.69±0.51)and(1.42±0.33)points in the control group.The difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the study group and the control group(P>0.05).Conclusion The use of ropivacaine hydrochloride and sufentanil in epidural anesthesia for labor analgesia can improve the analgesic effect and shorten the duration of labor of parturients,and it is safe and effective.

Ropivacaine hydrochlorideSufentanilEpidural blockAnesthetic deliveryAnalgesic effect

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341100 赣州市赣县区妇幼保健院

盐酸罗哌卡因 舒芬太尼 硬膜外阻滞 麻醉分娩 镇痛效果

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(22)