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目的 :探讨足月初产妇自然分娩过程中联合使用舒芬太尼和罗哌卡因镇痛治疗的临床效果。方法 :选取我产科自2014年9月~2015年12月间收治的120例接受自然分娩的足月初产妇进行研究,采用随机数方法将产妇分为两组,即对照组产妇联合使用芬太尼和罗哌卡因进行分娩镇痛;观察组联合使用舒芬太尼和罗哌卡因镇痛治疗,实时测定给药后不同时段产妇的疼痛(VAS)评分、心率(HR)指标和动脉压(MAP)等数据的变化;详细记录2组产妇的安全性、产程时间、新生儿Apgar评分情况。结果 :给药前后两组患者的二组产妇的HR、MAP等指标无显著差异;观察组产妇的VAS评分、并发症情况均显著低于对照组,新生儿Apgar评分高于对照组,数据对比差异显著。结论 :在足月经阴道分娩初产妇镇痛干预中采用舒芬太尼联合罗哌卡因能够快速缓解疼痛,并发症发生率低。
Objective: To investigate the clinical effect of sufentanil combined with ropivacaine in spontaneous labor of full-term primipara. Methods: A total of 120 full-term primipara received natural delivery from our department of obstetrics from September 2014 to December 2015 were selected and divided into two groups using random number method, that is, the control group, the combination of fentanyl And ropivacaine for labor analgesia. The observation group was given sufentanil and ropivacaine analgesia. The pain scores (VAS), heart rate (HR) and arterial pressure (MAP) and other data changes; detailed records of two groups of maternal safety, labor process, neonatal Apgar score. Results: There was no significant difference in the HR, MAP and other indexes between the two groups before and after treatment. The VAS score and complications in the observation group were significantly lower than those in the control group, and the neonatal Apgar score was higher than that in the control group Significant difference. CONCLUSIONS: Sufentanil combined with ropivacaine can relieve pain quickly and have a low complication rate in first trimester labor analgesia during vaginal delivery.