[1]周 琳.盐酸罗哌卡因联合舒芬太尼硬膜外麻醉在足月妊娠产妇无痛分娩中的临床应用效果[J].医学信息,2024,37(16):104-107.[doi:10.3969/j.issn.1006-1959.2024.16.023]
　ZHOU Lin.Clinical Application Effect of Ropivacaine Hydrochloride Combined with Sufentanil Epidural Anesthesia in Painless Labor of Full-term Pregnant Women[J].Journal of Medical Information,2024,37(16):104-107.[doi:10.3969/j.issn.1006-1959.2024.16.023]
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盐酸罗哌卡因联合舒芬太尼硬膜外麻醉在足月妊娠产妇无痛分娩中的临床应用效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年16期
页码:
104-107
栏目:
论著
出版日期:
2024-08-15

文章信息/Info

Title:
Clinical Application Effect of Ropivacaine Hydrochloride Combined with Sufentanil Epidural Anesthesia in Painless Labor of Full-term Pregnant Women
文章编号:
1006-1959（2024）16-0104-04
作者:
周 琳
东乡区人民医院妇产科，江西 抚州 331800
Author(s):
ZHOU Lin
Department of Obstetrics and gynecology,Dongxiang District People’s Hospital,Fuzhou 331800,Jiangxi,China
关键词:
盐酸罗哌卡因; 舒芬太尼; 硬膜外麻醉; 足月妊娠; 无痛分娩
Keywords:
Ropivacaine hydrochloride; Sufentanil; Epidural anesthesia; Full-term pregnancy; Painless delivery
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2024.16.023
文献标志码:
A
摘要:
目的 观察盐酸罗哌卡因联合舒芬太尼硬膜外麻醉用于足月妊娠产妇无痛分娩的临床效果。方法 选取2022年4月-2023年4月在我院分娩的80例足月妊娠产妇为研究对象，采用随机数字表法分为对照组和观察组，各40例。对照组接受自然分娩，观察组采用盐酸罗哌卡因联合舒芬太尼硬膜外麻醉实施无痛分娩。比较两组产妇不同产程时间、疼痛（VAS）评分、新生儿Apgar评分、分娩应对（CCB）评分、分娩方式及不良母婴结局发生率。结果 观察组第一、第二、第三产程以及总产程时间均短于对照组（P＜0.05）；观察组宫口开3 cm时VAS评分与对照组比较，差异无统计学意义（P＞0.05）；观察组宫口全开、胎儿娩出时VAS评分均小于对照组（P＜0.05）；观察组新生儿Apgar评分、产妇CCB评分均高于对照组（P＜0.05）；观察组阴道分娩率高于对照组，会阴侧切率、中转剖宫产率低于对照组（P＜0.05）；观察组母婴不良结局发生率低于对照组（P＜0.05）。结论 盐酸罗哌卡因联合舒芬太尼硬膜外麻醉在足月妊娠产妇无痛分娩中效果确切，可促进产程进展，缩短产程时间，减轻分娩疼痛，提高新生儿 Apgar 评分，改善产妇应对心理，减少会阴侧切和中转剖宫产，预防母婴不良结局，是一种安全性、有效的无痛分娩方式。
Abstract:
Objective To observe the clinical effect of ropivacaine hydrochloride combined with sufentanil epidural anesthesia in painless delivery of full-term pregnant women.Methods A total of 80 full-term pregnant women who gave birth in our hospital from April 2022 to April 2023 were selected as the research objects. They were divided into control group and observation group by random number table method, with 40 pregnant women in each group. The control group received natural delivery, and the observation group received ropivacaine hydrochloride combined with sufentanil epidural anesthesia for painless delivery. The different labor time, pain (VAS) score, neonatal Apgar score, delivery coping (CCB) score, delivery mode and the incidence of adverse maternal and infant outcomes were compared between the two groups.Results The first, second, third stage of labor and total labor time in the observation group were shorter than those in the control group (P<0.05). The VAS score of the observation group was lower than that of the control group (P<0.05). The neonatal Apgar score and maternal CCB score in the observation group were higher than those in the control group (P<0.05). The vaginal delivery rate in the observation group was higher than that in the control group, and the episiotomy rate and cesarean section rate were lower than those in the control group (P<0.05). The incidence of maternal and infant adverse outcomes in the observation group was lower than that in the control group (P<0.05).Conclusion Epidural anesthesia with ropivacaine hydrochloride combined with sufentanil is effective in painless delivery of full-term pregnant women, which can promote the progress of labor, shorten the time of labor, reduce labor pain, improve the Apgar score of newborns, improve maternal coping psychology, reduce lateral episiotomy and cesarean section, and prevent adverse maternal and infant outcomes. It is a safe and effective painless delivery method.

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更新日期/Last Update: 1900-01-01