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1、罗哌卡因联合舒芬太尼用于无痛分娩50例研究【摘要】目的探讨罗哌卡因联合舒芬太尼用于无痛分娩的效果、并发症及对产程和新生儿阿普加评分的影响。方法回顾2007年50例罗哌卡因配合舒芬太尼椎管内麻醉行无痛分娩的病例资料,并随机选取同期50例未行无痛分娩的产妇作为对照组,对比2组产妇的剖宫产率、疼痛程度、产程、新生儿的阿普加评分,观察无痛分娩组的不良反应。结果无痛分娩组剖宫产率低于对照组;疼痛方面,分娩过程中无痛分娩组疼痛明显轻于对照组,但缝合会阴切口时2组差别无显著性;对产程影响方面,活跃期无痛分娩组短于对照组,而第二产程无痛分娩组长于对照组;新生儿阿普加评分2组间差别无显
2、著性;不良反应方面,宫缩乏力100%(50/50),皮肤瘙痒80%(40/50),尿潴留30%(15/50),余未发现明显并发症。结论罗哌卡因、舒芬太尼椎管内麻醉行无痛分娩效果确切,安全,但应注意宫缩乏力、皮肤瘙痒、尿潴留等不良反应及对产程的影响。�【关键词】罗哌卡因;舒芬太尼;无痛分娩��Theanalysisof50casesofanalgesiclaborwithropivacaineandsufentanylZHOUShui-sheng,Gu8Jian,ChenXiao-wei,etal.The3rdAffiliatedHospitalofSunYat-sen
3、University,Guangzhou,510630,China【Abstract】ObjectiveToexploretheeffect,complicationsandtheinfluenceonlaborandtheApgarscoreofnewbornsofanalgesiclaborwithropivacaineandsufentanyl.Methods50casesofanalgesiclaborwithropivacaineandsufentanylin2007werelookedbackto,50parturientswithoutanalgesic
4、laborinthesameperiodwaschosenascomparisongrouprandomly.Thecesareansectionrate,degreeofpain,laborandtheapgarscoreofnewbornsbetweenthetwogroupswerecompared,andthesideeffectsoftheanalgesiclaborgroupwereobserved.ResultsThecesareansectionrateoftheanalgesiclaborgroupwaslower;thedegreeofpaindu
5、ringlaboroftheanalgesiclaborgroupwaslower,buttherewasnosignificantdifferencebetweenthetwogroupswhenstitchingtheincision.Comparedtothecomparisongroup,theactivestageoftheanalgesiclaborgroupwasshorter,yetthesecondstageoflaborwas8longer.TherewasnosignificantdifferenceintheApgarscoreofnewbor
6、nsbetweenthetwogroups.Thesideeffectsoftheanalgesiclaborgroupasfollowing:uterineinertia100%(50/50),itch80%(40/50),urinaryretention30%(15/50).ConclusionItiseffectiveandsafetoperformanalgesiclaborwithropivacaineandsufentanyl,butthesideeffectssuchasuterineinertia,itchandurinaryretentionandt
7、heinfluenceonthelaborshouldbepaidmoreattention.�【Keywords】Ropivacaine,Sufentanyl,Analgesiclabor分娩镇痛是多年来产科较为棘手进步的问题之一。有效的分娩镇痛减轻孕产妇痛苦,是社会发展和医疗人性化的要求。我院开展罗哌卡因、舒芬太尼椎管内麻醉无痛分娩,取得了明显效果,报道如下。�1资料和方法�1.1研究对象我院2007年4月至7月50例罗哌卡因配合舒芬太尼椎管内麻醉行无痛分娩的病例资料,并随机选取同期50例未行无痛分娩的产妇作为对照组。两组产妇在孕周、年龄、产次方