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目的对比分析采用硬膜外阻滞的分娩镇痛中,注入不同药物的临床效果。方法 100例自愿要求分娩镇痛的产妇,随机分为S组(0.1%罗哌卡因注射液+0.33μg/ml舒芬太尼注射液)和M组(0.125%罗哌卡因注射液),各50例。对比分析两组产妇视觉模拟评分(VAS评分)、不良反应、运动阻滞、产妇满意度、分娩方式及新生儿Apgar评分。结果 S组产妇镇痛效果出现早,不良反应少,下肢麻木感少于M组(P<0.05);两组运动阻滞、产妇满意度、分娩方式及新生儿Apgar评分比较差异无统计学意义(P>0.05)。结论 0.1%罗哌卡因注射液+0.3μg/ml舒芬太尼注射液共150 ml硬膜外持续泵注用于分娩镇痛,具有镇痛效果出现早、对产妇运动影响小、不良反应少等诸多优点,是目前分娩镇痛中硬膜外给药的一种较佳方案,值得临床应用推广。
Objective To compare and analyze the clinical effect of injecting different drugs in labor analgesia with epidural block. Methods A total of 100 maternal women who were asked for labor analgesia were randomly divided into group S (0.1% ropivacaine injection + 0.33μg / ml sufentanil injection) and M group (0.125% ropivacaine injection) , 50 cases each. Visual analogue scale (VAS), adverse reactions, motor block, maternal satisfaction, mode of delivery and neonatal Apgar score were compared between the two groups. Results The analgesic effect of maternal group S was earlier and the adverse reaction was less, and the numbness of lower limbs was less than that of M group (P <0.05). There was no significant difference in motor block, maternal satisfaction, mode of delivery and neonatal Apgar score (P> 0.05). Conclusion 0.1% ropivacaine injection + 0.3μg / ml sufentanil injection 150 ml continuous epidural pump used for labor analgesia, analgesic effect appeared early, little effect on mothers mothers, adverse reactions Less and many other advantages, is the current labor analgesia in the epidural delivery of a better program, it is worth promoting the clinical application.