首页> 中文期刊> 《中国继续医学教育》 >罗哌卡因配伍舒芬太尼用于硬膜外阻滞分娩镇痛对产妇和新生儿的影响

罗哌卡因配伍舒芬太尼用于硬膜外阻滞分娩镇痛对产妇和新生儿的影响

         

摘要

目的:分析与研究罗哌卡因配伍舒芬太尼用于硬膜外阻滞分娩镇痛对产妇和新生儿的影响。方法选择本院2014年12月~2016年5月收治的108例产妇为研究主体,分成A组(55例)和B组(53例)。A组采用罗哌卡因配伍舒芬太尼用于硬膜外阻滞分娩镇痛治疗,B组不采用镇痛治疗。对比两组的镇痛效果、产后2 h出血量、产程时间、分娩方式与新生儿情况。结果对比两组的新生儿窒息率、产后2 h出血量,差异无统计学意义(P>0.05)。A组的产程活跃期较短,疼痛程度较轻,且剖宫产率较低,与B组对比,差异有统计学意义(P<0.05)。结论罗哌卡因配伍舒芬太尼用于硬膜外阻滞分娩镇痛的应用效果较好,能够加快产妇的生产活跃期,提高顺产几率,缩短产程,并且不对新生儿产生任何不良影响。%Objective To analysis and Study on ropivacaine combined with sufentanil for effect of epidural block for labor analgesia on maternal and neonatal.Methods Selected the hospital from December 2014 to May 2016 treated 108 cases of maternal as the main body of the study, divided into group A (55 cases) and group B (53 cases). Group A was treated with ropivacaine and sufentanil for epidural labor analgesia treatment, B group without the use of analgesic therapy. The analgesic effect of the two groups, the amount of postpartum 2 hours bleeding, labor time, mode of delivery and neonatal conditions. Results Compared with the two groups of neonatal asphyxia rate, 2 h postpartum hemorrhage, the difference was not statistically signiifcant (P>0.05). During the period of A group, the active phase was shorter, the pain was mild, and the rate of cesarean section was lower, and the difference was statistically significant (P<0.05) compared with the B group.Conclusion Ropivacaine combined with sufentanil for better application effect of epidural labor analgesia, can accelerate the maternal production period, improve the birth rate, shorten the production process, and does not produce any adverse effects in neonates.

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