目的:探究罗哌卡因联合舒芬太尼在腰硬联合麻醉分娩镇痛中的临床效果。方法:选取我院收治的83例产妇作为此次观察分析的对象,并按照随机数字表达法将其分为对照组与实验组,其中实验组患者总例数为42例,给予其舒芬太尼联合罗哌卡因行腰硬联合麻醉分娩镇痛,对照组患者总例数为41例,未采取镇痛措施,将两组的分娩方式、镇痛效果、新生儿Apgar评分以及产程持续的时间进行分析并对比。结果:实验组与对照组的镇痛有效率分别为85.71%、41.46%,两组比较,对照组的镇痛有效率明显比实验组低,且P<0.05,实验组的剖宫产率为4.76%,对照组为34.15%,两组组间比较,对照组的剖宫产率显著比实验组高,两组数据存在统计学差异(P<0.05);对照组初产妇在第二产程的时长与新生儿Apgar评分分别为1.37±0.21h、8.45±0.78分,实验组第二产程的时长与新生儿Apgar评分分别为1.49±0.27h、8.57±0.59分,两组比较,发现P>0.05,无统计学差异存在。结论:舒芬太尼联合罗哌卡因行腰硬联合麻醉分娩镇痛,不仅能获得较为理想的镇痛效果,还能降低剖宫产率,有临床推广与应用价值。 Objective: To investigate the clinical effect of ropivacaine combined with sufentanil in analgesia during labor and delivery of combined spinal and epidural anesthesia. Methods: Eighty-three maternal women admitted to our hospital were selected as the object of this observation and were divided into control group and experimental group according to random number expression. The total number of patients in experimental group was 42, Neodymium combined with ropivacaine combined spinal and epidural anesthesia labor analgesia, the control group of patients with a total number of 41 cases, without taking analgesic measures, the two groups of mode of delivery, analgesic effect, neonatal Apgar score and duration of labor Time to analyze and contrast. Results: The analgesic efficacies of the experimental group and the control group were 85.71% and 41.46% respectively. The effective rate of analgesia in the control group was significantly lower than that in the experimental group and P <0.05. The cesarean section rate in the experimental group was 4.76% in the control group and 34.15% in the control group. The cesarean section rate in the control group was significantly higher than that in the experimental group (P <0.05) The duration of neonatal Apgar score was 1.37 ± 0.21h and 8.45 ± 0.78 respectively. The duration of the second stage of labor and Apgar score of newborns were 1.49 ± 0.27h and 8.57 ± 0.59 in the experimental group, P> 0.05 , There is no statistical difference exists. Conclusion: Sufentanil and ropivacaine combined with spinal and epidural anesthesia for labor analgesia can not only achieve better analgesic effect, but also reduce the rate of cesarean section with clinical promotion and application value.