首页|舒芬太尼与右美托咪定分别联合罗哌卡因对产妇分娩镇痛的效果比较

舒芬太尼与右美托咪定分别联合罗哌卡因对产妇分娩镇痛的效果比较

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目的:观察右美托咪定+罗哌卡因、舒芬太尼+罗哌卡因对产妇分娩中的镇痛效果,以期为临床无痛分娩技术提供指导。方法:选取2021年12月—2022年12月于本院进行分娩的74例产妇为研究对象,依据随机数字表法分成研究组(n=37)、对照组(n=37),对照组镇痛方案为舒芬太尼+罗哌卡因,研究组镇痛方案为右美托咪定+罗哌卡因,比较两组生命体征情况、动脉血气指标、镇静与镇痛情况、产程时间、不良反应情况。结果:研究组、对照组间镇痛前后的HR、DBP、SBP、SaO2、PaCO2、PaO2 水平及第一、第二、第三产程时间比较,差异无统计学意义(P>0。05);研究组Ramsay评分高于对照组,VAS评分低于对照组(P<0。05);研究组不良反应发生率低于对照组(P<0。05)。结论:在产妇分娩过程中,右美托咪定+罗哌卡因、舒芬太尼+罗哌卡因具有显著的应用效果,均不会影响产妇生命体征、动脉血气指标、产程时间,但是右美托咪定+罗哌卡因的镇静、镇痛效果更为显著,且不良反应较少。
Comparison of the Effects of Sufentanil and Dexmedetomidine Combined with Ropivacaine on Maternal Labor Analgesia
Objective:To observe the analgesic effect of dexmedetomidine+ropivacaine and sufentanil+ropivacaine on maternal delivery,in order to provide guidance for clinical painless delivery technology.Methods:A total of 74 parturients who gave birth in our hospital from December 2021 to December 2022 were selected as the research objects.According to the random number table method,they were divided into study group(n=37)and control group(n=37).The analgesia scheme of the control group was sufentanil+ropivacaine,and the analgesia scheme of the study group was dexmedetomidine+ropivacaine.The vital signs,arterial blood gas indexes,sedation and analgesia,labor time and adverse reactions of the two groups were compared.Results:There was no significant difference in the levels of HR,DBP,SBP,SaO2,PaCO2,PaO2 and the time of the first,second and third stages of labor before and after analgesia between the study group and the control group(P>0.05).Ramsay score of study group was higher than that of control group,VAS score was lower than that of control group(P<0.05).The incidence of adverse reactions in the study group was lower than that in the control group(P<0.05).Conclusion:In the process of delivery,dexmedetomidine+ropivacaine and sufentanil+ropivacaine have significant application effects,which will not affect the vital signs,arterial blood gas indexes and labor time of parturients.However,the sedative and analgesic effects of dexmedetomidine+ropivacaine are more significant,and the adverse reactions are less.

SufentanilRopivacaineDexmetomidineMaternal deliveryAnalgesic effect

范文、杨海霞、王利娜、周卫敏

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安阳市妇幼保健院/安阳市儿童医院麻醉科,河南 安阳 455000

舒芬太尼 罗哌卡因 右美托咪定 产妇分娩 镇痛效果

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.(1)
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