舒芬太尼与罗哌卡因联合分娩镇痛对产程进展和剖宫产率的影响-论文.pdf

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1、王金印舒芬太尼与罗哌卡因联合分娩镇痛对产程进展和剖宫产率的影响第16期舒芬太尼与罗哌卡因联合分娩镇痛对产程进展和剖宫产率的影响王金印山东省诸城市妇幼保健院产一科262200中国图书分类号11719文献标识码A文章编号1001-4411(2014)16-2627-02；doi：10．7620／zgfybj．J．issm1001—4411．2014．16．62【摘要】目的：探讨舒芬太尼联合罗哌卡因行腰硬联合分娩镇痛对产程进展和剖宫产率的影响。方法：将140例初产妇随机分为两组，每组各70例，其中对照组不给予镇痛药物，观察组采取舒芬太尼联合罗哌卡因镇痛，比较两组镇痛效果、产程进展及剖宫产率。结

2、果：观察组T1、T2时视觉模拟疼痛评分分别为(2．O1±0．23)分和(0．87±0．11)分，均较11D时和对照组评分显著降低(P<0．05)；观察组第一产程和第二产程时间分别为(192．03-4-11．02)rain和(52．914-4．23)min，与对照组比较不具有统计学差异(P>0．05)；观察组剖宫产率为11．43％，显著低于对照组的31．43％(P<0．05)。结论：舒芬太尼联合罗哌卡因行腰硬联合分娩镇痛效果显著，可显著降低剖宫产率，安全性高，具有较好的临床应用价值。【关键词】舒芬太尼罗哌卡因分娩镇痛产程进展Efectoflaboranalgesiawithsufentan

3、ilcombinedwithropivacaineonprogressoflaborandcesareansectionrateWANGfin—Yin．TheFirstDepartmentofObstetrics，ZhuchengMunicipalMaternalandChildHealth,CareHospital，Zhucheng262200，Shandong。China[Abstract]Objective：Toexploretheeffectoflaboranalgesiawithsufentanilcombinedwithropivacaineonprogressoflabor

4、andcesareansectionrate．Methods：Atotalof140primiparouswomenwererandomlydividedintotwogroups，70womenineachgroup；thewomenincontrolgroupwerenottreatedwithanalgesics，whilethewomeninobservationgroupweretreatedwithsufentanilcombinedwithropivacaineforlaboranalgesia；theanalgesiceffects，progressesoflaboran

5、dcesareansectionratesinthetwogroupswerecompared．Re·suits：VASscoreatT1andT2inobservationgroupwere(2．01±0．23)and(0．87-4-0．11)，respectively，whichweresignificantly]owerthanthoseatTOinobservationgroupandcontrolgroup(P<0．05)；thefirststageoflaborandthesecondstageoflaborinobservationgroupwere(192．03±11．0

6、2)minutesand(52．914-4．23)minutes，respectively，comparedwithcontrolgroup，therewasnostatisticallysignifi—cantdifference(P>0．05)；thecesareansectionrateinobservationgroupwas11．43％，whichwasstatisticallysignificantlylowerthanthatincontrolgroup(31．43％)(P<0．05)．Conclusion：Theeffectofsufentanilcombinedwith

7、ropivacaineonlaboranalgesiaissignificant，anditcansignificantlyreducethecesareansectionrate，anditissafe，whichhasgoodclinicalvalue．[Keywords]Sufentanil；Ropivacaine；Laboranalgesia；Laborprogress随着近年来人们生活水平的不断提高，产妇及产理委员会批准，