Effect of Epidural Pulse Injection of Ropivacaine Combined with Sufentanil on Labor Analgesia
Objective:To observe the effect of labor analgesia with epidural pulse injection of Ropivacaine combined with Sufentanil.Method:A total of 60 parturients who planned to have natural delivery in Tianjin Occupational Diseases Precaution and Therapeutic Hospital from January 2021 to December 2022 were selected for the study,they were divided into study group and control group according to random number table method,with 30 cases in each group.Both groups received Ropivacaine combined with Sufentanil for epidural analgesia.The study group was administered by pulsed injection,while the control group was administered by continuous infusion.The intraoperative pain level,the number of analgesic pump compressions,labor course,adverse reactions,neonatal outcomes,postoperative motor block and postoperative recovery time were compared between the two groups.Result:The intraoperative visual analogue scale(VAS)score of the study group was lower than that of the control group,and the number of analgesic pump compression was less than that of the control group,the differences were statistically significant(P<0.05).There was no significant difference in labor process and neonatal outcome between the two groups(P>0.05).The modified Bromage score of the study group at 24 h after surgery were higher than those of the control group,and the first time of getting out of bed,exhaust time and defecation time after surgery were shorter than that of the control group,the differences were statistically significant(P<0.05).There was no significant difference in hospital stay between the two groups(P>0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion:Epidural pulse injection of Ropivacaine combined with Sufentanil for labor analgesia can achieve good analgesia effect during surgery and few analgesic pump compressions,and it is helpful to shorten the time of postoperative motor block release and promote postpartum recovery as soon as possible,and it does not significantly affect neonatal outcomes and postpartum adverse reactions.