舒芬太尼、罗哌卡因联合分娩镇痛的疗效及安全性

Efficacy and safety of sufentanil combined with ropivacaine and labor analgesia

  • 摘要: 目的 探讨舒芬太尼复合罗哌卡因联合分娩镇痛的疗效。 方法 选取足月分娩的80例产妇,根据产妇及家属意愿分为观察组(行镇痛分娩, n=46)与对照组(无镇痛分娩, n=34)。比较2组产妇及新生儿的血气分析结果、分娩疼痛情况、分娩镇痛对母婴的影响、新生儿的运动发展指数(PDI)和智力发展指数(MDI)。 结果 观察组产妇的动脉血氧分压[p(O2)]、动脉血二氧化碳分压[p(CO2)]水平显著低于对照组, pH值显著高于对照组(P<0.05); 观察组新生儿的p(O2)、pH值显著高于对照组, p(CO2)显著低于对照组(P<0.05)。观察组产后皮肤瘙痒发生率显著高于对照组,剖宫产率显著低于对照组(P<0.05)。2组新生儿的PDI及MDI评分无显著差异(P>0.05)。 结论 舒芬太尼复合罗哌卡因联合分娩镇痛的效果显著,可有效改善母婴的氧合状态,安全性良好。

     

    Abstract: Objective To explore clinical efficacy of sufentanil combined with ropivacaine and labor analgesia. Methods A total of 80 puerperas with full-term delivery were selected and divided into observation group(treated with labor analgesia, n=46)and control group(treated without analgesia delivery,n=34)according to the willing of puerperas and their families. The results of blood gas analysis, labor pain, the effect of labor analgesia on puerperas and infants, neonatal psychomotor development index(PDI)and neonatal mental developmental index(MDI)were compared between two groups. Results For puerperas, the levels of partial pressure of arterial oxygen [p(O2)] and partial pressure of arterial carbon dioxide [p(CO2)] in the observation group were significantly lower than those in the control group, and the pH value was significantly higher than that in the control group(P<0.05). For the neonates, the p(O2)and pH value in the observation group were significantly higher than those in the control group, and the p(CO2)was significantly lower than that in the control group(P<0.05). The incidence rate of pruritus in the observation group was significantly higher than that in the control group, and the cesarean section rate was significantly lower than that in the control group(P<0.05). There were no significant differences in neonatal PDI and MDI between the two groups(P>0.05). Conclusion Sufentanil combined with ropivacaine and labor analgesia is effective and safe for puerperas and infants, which can effectively improve the oxygenation state of puerperas and infants.

     

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