[1]何华东.罗哌卡因复合瑞芬太尼腰麻-硬膜外麻醉在分娩镇痛中的价值[J].医学信息,2022,35(17):57-59.[doi:10.3969/j.issn.1006-1959.2022.17.013]
　HE Hua-dong.The Value of Ropivacaine with Remifentanil Combined Spinal-epidural Anesthesia in Labor Analgesia[J].Journal of Medical Information,2022,35(17):57-59.[doi:10.3969/j.issn.1006-1959.2022.17.013]
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罗哌卡因复合瑞芬太尼腰麻-硬膜外麻醉在分娩镇痛中的价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年17期
页码:
57-59
栏目:
论著
出版日期:
2022-09-01

文章信息/Info

Title:
The Value of Ropivacaine with Remifentanil Combined Spinal-epidural Anesthesia in Labor Analgesia
文章编号:
1006-1959（2022）17-0057-03
作者:
何华东
（东乡区人民医院麻醉科，江西 抚州 331800）
Author(s):
HE Hua-dong
(Department of Anesthesiology,Dongxiang District People’s Hospital,Fuzhou 331800,Jiangxi,China)
关键词:
罗哌卡因; 瑞芬太尼; 分娩镇痛
Keywords:
Ropivacaine; Remifentanil; Labor analgesia
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2022.17.013
文献标志码:
A
摘要:
目的 探讨罗哌卡因复合瑞芬太尼腰麻-硬膜外麻醉（CSEA）在分娩镇痛中的应用价值。方法 选取2020年1月-2021年6月东乡区人民医院行CSEA分娩镇痛的产妇84例为研究对象，随机分为镇痛A组和镇痛B组，每组42例。镇痛A组应用罗哌卡因麻醉，镇痛B组应用罗哌卡因联合瑞芬太尼麻醉。比较不同时间节点两组产妇心率、平均动脉压、疼痛评分，两组麻醉起效时间、麻醉起效后1 h Ramsay评分、产程及剖宫产率。结果 麻醉镇痛后1 h，两组心率均低于麻醉镇痛前，镇痛B组高于镇痛A组，差异有统计学意义（P＜0.05）；分娩后1 h，镇痛B组心率、平均动脉压与麻醉镇痛前比较，差异无统计学意义（P＞0.05）；分娩后1 h，镇痛A组心率高于镇痛前和镇痛B组，平均动脉压低于镇痛前和镇痛B组，差异有统计学意义（P＜0.05）；麻醉镇痛后1 h、分娩后1 h，两组VAS评分低于麻醉镇痛前，镇痛B组低于镇痛A组，差异有统计学意义（P＜0.05）；镇痛B组麻醉起效时间、产程短于镇痛A组，麻醉起效后1 h Ramsay评分高于镇痛A组，剖宫产率低于镇痛A组，差异有统计学意义（P＜0.05）。结论 罗哌卡因复合瑞芬太尼CSEA能够达到较好的分娩镇痛效果，能够促进产妇血流动力学稳定，缩短产程，减少剖宫产率。
Abstract:
Objective To explore the application value of ropivacaine with remifentanil combined spinal-epidural anesthesia (CSEA) for labor analgesia.Methods From January 2020 to June 2021,84 parturients undergoing CSEA labor analgesia in Dongxiang District People’s Hospital were randomly divided into analgesia group A and analgesia group B, with 42 cases in each group. Analgesia group A received ropivacaine anesthesia, analgesia group B received ropivacaine combined with remifentanil anesthesia. The heart rate, mean arterial pressure and pain score of the two groups at different time points were compared. The onset time of anesthesia, Ramsay score 1 h after the onset of anesthesia, labor process and cesarean section rate were compared between the two groups.Results At 1 h after anesthesia, the heart rate of the two groups was lower than that before anesthesia, and the heart rate of group B was higher than that of group A, the difference was statistically significant (P<0.05). There was no significant difference in heart rate and mean arterial pressure in analgesia group B at 1 h after delivery and before anesthesia(P>0.05). At 1 h after delivery, the heart rate of analgesia group A was higher than that before analgesia and analgesia group B, and the mean arterial pressure was lower than that before analgesia and analgesia group B, the difference was statistically significant (P<0.05). At 1 h after analgesia and 1 h after delivery, the VAS scores of the two groups were lower than those before anesthesia analgesia, and the analgesia group B was lower than the analgesia group A, the differences were statistically significant (P<0.05). The onset time and labor stage of anesthesia inanalgesia group B were shorter than those in analgesia group A, the Ramsay score at 1 h after the onset of anesthesia was higher than that in analgesia group A, and the cesarean section rate was lower than that in analgesia group A, the differences were statistically significant (P<0.05).Conclusion Ropivacaine with remifentanil CSEA can achieve good labor analgesia effect, promote maternal hemodynamic stability, shorten the labor process, reduce the rate of cesarean section.

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更新日期/Last Update: 1900-01-01