首页|罗哌卡因联合舒芬太尼硬膜外脉冲式注射在分娩镇痛中的效果

罗哌卡因联合舒芬太尼硬膜外脉冲式注射在分娩镇痛中的效果

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目的:观察罗哌卡因联合舒芬太尼硬膜外脉冲式注射在分娩镇痛中的效果.方法:选取 2021 年 1 月—2022 年12 月在天津市职业病防治院拟行顺产的 60 例产妇纳入研究,按随机数表法分为研究组和对照组,各 30 例.两组均使用罗哌卡因联合舒芬太尼硬膜外镇痛,其中研究组通过脉冲式注射给药,对照组通过连续输注给药.比较两组术中疼痛水平、镇痛泵按压次数、产程、不良反应、新生儿结局、术后运动阻滞情况、术后恢复时间.结果:研究组术中视觉模拟评分(VAS)评分低于对照组,镇痛泵按压次数少于对照组,差异有统计学意义(P<0.05).两组产程、新生儿结局比较,差异无统计学意义(P>0.05).研究组术后 24 h改良Bromage评分高于对照组,术后首次下床活动时间、排气时间、排便时间短于对照组,差异有统计学意义(P<0.05).两组住院时间比较,差异无统计学意义(P>0.05);两组不良反应总发生率比较,差异无统计学意义(P>0.05).结论:罗哌卡因联合舒芬太尼硬膜外脉冲式注射用于分娩镇痛,可获得较好术中镇痛效果,产妇按压镇痛泵次数较少,有助于缩短术后运动阻滞解除时间,促进产后尽快恢复,未明显影响新生儿结局和产后不良反应.
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.

RopivacaineSufentanilPulse injectionLabor analgesia

蒙占涛

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天津市职业病防治院 天津 300011

罗哌卡因 舒芬太尼 脉冲式注射 分娩镇痛

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(25)