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目的对无痛分娩中舒芬太尼配伍罗哌卡因硬膜外麻醉的应用效果进行分析。方法 114例分娩产妇,随机分为对照组与观察组,各57例。对照组未使用任何镇痛药物行自然分娩方法 ,观察组以舒芬太尼联合罗哌卡因硬膜外麻醉无痛分娩。观察比较两组产妇镇痛效果、产程时间以及分娩方式。结果观察组镇痛效果明显优于对照组,差异具有统计学意义(P<0.05)。观察组第一产程活跃期(3.1±1.2)h短于对照组的(4.8±1.8)h,第二产程活跃期(0.7±0.5)h短于对照组的(1.3±0.4)h,差异具有统计学意义(P<0.05)。观察组顺产40例、剖宫产12例、阴道助产5例,对照组顺产26例、剖宫产23例、阴道助产8例,两组比较差异具有统计学意义(P<0.05)。观察组新生儿5 min Apgar评分(8.10±0.05)分与对照组的(8.12±0.08)分比较差异无统计学意义(P>0.05);观察组10 min Apgar评分(9.25±0.10)分与对照组(9.26±0.11)分比较,差异无统计学意义(P>0.05)。结论无痛分娩中,舒芬太尼联合罗哌卡因硬膜外麻醉方式的应用可取得显著镇痛效果,有助于顺产率的提高,同时对新生儿无不良影响,应在临床实践中推广应用。
Objective To analyze the effect of sufentanil in combination with ropivacaine epidural anesthesia in painless childbirth. Methods 114 cases of childbirth maternal, were randomly divided into control group and observation group, 57 cases each. The control group did not use any analgesic drug delivery method, the observation group with sufentanil combined with epidural ropivacaine painless childbirth. Observe and compare analgesic effect, labor time and delivery mode of two groups. Results The observation group analgesic effect was significantly better than the control group, the difference was statistically significant (P <0.05). The active stage of the first stage of labor in the observation group (3.1 ± 1.2) h was shorter than that of the control group (4.8 ± 1.8) h, the active stage of the second stage of labor (0.7 ± 0.5) h was shorter than that of the control group (1.3 ± 0.4) h, Statistical significance (P <0.05). In the observation group, there were 40 cases of spontaneous abortion, 12 cases of cesarean section and 5 cases of vaginal midwifery. The control group had 26 cases of cesarean section, 23 cases of cesarean section and 8 cases of vaginal midwifery. There was significant difference between the two groups (P <0.05). There was no significant difference in Apgar score (8.10 ± 0.05) between the observation group and the control group (8.12 ± 0.08) at 5 min (P> 0.05). The Apgar score (9.25 ± 0.10) Group (9.26 ± 0.11) points, the difference was not statistically significant (P> 0.05). Conclusion The application of sufentanil in combination with epidural ropivacaine in painless delivery can achieve significant analgesic effect, which can contribute to the improvement of cesarean section rate and no adverse effects on neonates, and should be in clinical practice Promote the application.