[1]张 颂,阚济伟,徐 东.盐酸罗哌卡因+舒芬太尼椎管内麻醉用于产妇分娩镇痛对分娩方式与助产方式的影响[J].医学信息,2026,39(10):152-155.[doi:10.3969/j.issn.1006-1959.2026.10.028]
　ZHANG Song,KAN Jiwei,XU Dong.Effects of Ropivacaine Hydrochloride+Sufentanil Intraspinal Anesthesia for MaternalLabor Analgesia on Delivery Mode and Midwifery Mode[J].Journal of Medical Information,2026,39(10):152-155.[doi:10.3969/j.issn.1006-1959.2026.10.028]
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盐酸罗哌卡因+舒芬太尼椎管内麻醉用于产妇分娩镇痛对分娩方式与助产方式的影响()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
39卷
期数:
2026年10期
页码:
152-155
栏目:
临床证据信息
出版日期:
2026-05-15

文章信息/Info

Title:
Effects of Ropivacaine Hydrochloride+Sufentanil Intraspinal Anesthesia for MaternalLabor Analgesia on Delivery Mode and Midwifery Mode
文章编号:
1006-1959（2026）10-0152-03
作者:
张 颂1; 阚济伟1; 徐 东2
1.天津康汇医院麻醉科，天津 300385；2.天津市河西区妇产科医院，天津 300202
Author(s):
ZHANG Song1;  KAN Jiwei1;  XU Dong2
1.Department of Anesthesiology, Tianjin Kanghui Hospital, Tianjin 300385, China; 2.Obstetrics and Gynecology Hospital of Hexi District, Tianjin 300202, China
关键词:
分娩镇痛; 盐酸罗哌卡因; 舒芬太尼; 椎管内麻醉; 分娩方式; 助产; 血压; 催产素
Keywords:
Labor analgesia;  Ropivacaine hydrochloride;  Sufentanil;  Intraspinal anesthesia;  Delivery mode;  Midwifery;  Blood pressure;  Oxytocin
分类号:
R714.3
DOI:
10.3969/j.issn.1006-1959.2026.10.028
文献标志码:
A
摘要:
目的 分析盐酸罗哌卡因（Rop）+舒芬太尼（Suf）椎管内麻醉用于产妇分娩镇痛对分娩方式与助产方式的影响。方法 以天津市河西区妇产科医院2023年1月-2024年12月行分娩镇痛的100例产妇为研究对象，经随机数字表法分为Rop组（50例）与Rop+Suf组（50例）。Rop组应用Rop椎管内麻醉方案，Rop+Suf组则采用Rop+Suf椎管内麻醉方案，比较两组产妇的疼痛指数[视觉模拟评分（VAS）]、血压指标[收缩压（SBP）、舒张压（DBP）]、产程、总镇痛时长、分娩方式、助产方式。结果 两组置管后VAS评分均低于置管前，且Rop+Suf组置管后VAS评分低于Rop组（P＜0.05）。镇痛后，两组SBP、DBP指标均低于镇痛前，但Rop+Suf组SBP、DBP指标高于Rop组（P＜0.05）。Rop+Suf组产程时长短于Rop组，总镇痛时长长于Rop组，剖宫产率与催产素使用率均低于Rop组（P＜0.05）。结论 Rop+Suf椎管内麻醉具有良好的分娩镇痛效果，可降低产妇的疼痛程度，缓解血压波动，且镇痛时间长，有助于缩短产程，减少产妇的剖宫产及催产素助产概率。
Abstract:
Objective To analyze the effects of ropivacaine hydrochloride (Rop)+sufentanil (Suf) intraspinal anesthesia for maternal labor analgesia on delivery mode and midwifery mode. Methods A total of 100 parturients who underwent labor analgesia in Obstetrics and Gynecology Hospital of Hexi District from January 2023 to December 2024 were divided into Rop group (50 parturients) and Rop+Suf group (50 parturients) by random number table method. The Rop group was treated with Rop intraspinal anesthesia, while the Rop+Suf group was treated with Rop+Suf intraspinal anesthesia. The pain index [Visual Analogue Scale (VAS)], blood pressure index [systolic blood pressure (SBP), diastolic blood pressure (DBP)], labor process, total analgesia duration, delivery mode and midwifery mode were compared between the two groups. Results The VAS score of the two groups after catheterization was lower than that before catheterization, and the VAS score of the Rop+Suf group after catheterization was lower than that of the Rop group (P<0.05). After analgesia, the SBP and DBP indexes of the two groups were lower than those before analgesia, but the SBP and DBP indexes of the Rop+Suf group were higher than those of the Rop group (P<0.05). The duration of labor in the Rop+Suf group was shorter than that in the Rop group, the total duration of analgesia was longer than that in the Rop group, and the cesarean section rate and oxytocin use rate were lower than those in the Rop group (P<0.05). Conclusion Rop+Suf intraspinal anesthesia has a good effect on labor analgesia, which can reduce the pain degree of parturients, relieve blood pressure fluctuation, and the analgesia time is long, which is helpful to shorten the labor process and reduce the probability of cesarean section and oxytocin midwifery.

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更新日期/Last Update: 1900-01-01