罗哌卡因复合舒芬太尼在硬膜外麻醉无痛分娩中的临床观察

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1、罗哌卡因复合舒芬太尼在硬膜外麻醉无痛分娩中的临床观察［摘要］H的研究罗哌卡因复合舒芬太尼在硬膜外麻醉分娩镇痛的安全性及有效性。方法随机选择96例初产临产妇，以入产房的单双例分为两组：A组注入0.2%罗哌卡因与5ug舒芬太尼混合液6mL，后接硬膜外?子止痛泵维持剂量7mL/h（n=48例）；B组为普通分娩对照组（n=48例）。观察两组分娩过程的疼痛分级和胎儿评分，产妇的血压心率变化，产妇的VAS评分，产程时间，顺产率，产后尿潴留等情况。结果疼痛分级效果镇痛组显著优于对照组（P〈0.01）,产程时间长于镇痛组，差异有显著性意义（P〈0.05）

2、;B组产妇在产程中MAP、IIR明显升高，变化有明显差异（P〈0.05）;A组剖腹产率比普通组低（P<0.05）；缩宫素使用率、围生期出血、Apgar评分、产后尿潴留等比较两组无明显差异（P〉0.05）。结论罗哌卡因复合舒芬太尼在硬膜外用于分娩镇痛可以降低分娩时期的疼痛，提高舒适度和安全性。本文采集自网络，本站发布的论文均是优质论文，供学习和研宄使用，文中立场与本网站无关，版权和著作权归原作者所有，如有不愿意被转载的情况，请通知我们删除已转载的信息，如果需耍分享，请保留本段说明［关键词］无痛分娩；罗哌卡因；舒芬太尼；硬膜外麻醉［中图分类号

3、］R614［文献标识码］A［文章编号］2095-0616(2017)07-134-04ClinicalobservationofropivacainccombinedwithsufentanilinpainlessdelivorepiduralanesthesiaCHENChangliangCHENYuanshengDepartmentofAnesthesiology，QingyuanHospitalofTtraditionalChineseMedicine,Guangdong,Qingyuan511500,China［Abstract］

4、ObjectiveToexplorethesafetyandeffectivenessofropivacainecombinedwithsufentanilinpainlessdelivorepiduralanesthesia.Methods96casesofprimiparawererandomlyselectedanddividedintotwogroupsaccordingtosingleanddoublecasesindeliveryroom.PatientsingroupAweretreatedwithinjectionof0.

5、2%ropivacaineand5ugsufentanilmixture6mL，andthenmaintenancedoseofepiduralanalgesiapump7mL/h(n=48).PatientsingroupBweretreatedwithgeneraldelivery(n=48).Painclassificationandfetaloutcomeduringdelivery,maternalbloodpressureandheartratechanges,maternalVASscore,labortime,laborr

6、ate,postpartumurinaryretentionandsoonofthetwogroupwereobserved.ResultsTheanalgesiceffectofpaingradegroupwassignificantlybetterthanthatofcontrolgroup(P<0.01).Thelabortimewaslongerthanthatintheanalgesiagroup,andthedifferencewassignificant(P<0.05).TheMAPandHRweresignificantl

7、yhigherinthegroupB，andthechangesweresignificantlydifferent(P<0.05).ThecaesareansectionrateofgroupAwaslowerthanthatofnormalgroup(P<0.05).Therewasnosignificantdifferencebetweenthetwogroups(P〉0.05)intherateofoxytocinuse,perinatalbleeding,Apgarscore,postpartumurinaryretention

8、.ConclusionRopivacainccombinedwithsufentanilinpainlessdelivorepiduralanesthesiacanreducethepaind