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目的探讨罗哌卡因复合舒芬太尼不同麻醉方式用于无痛分娩对产妇泌乳功能及新生儿的影响。方法将248例接受无痛分娩的孕妇随机分为观察组和对照组各124例,观察组采用罗哌卡因复合舒芬太尼腰—硬联合阻滞,对照组采用罗哌卡因复合舒芬太尼硬膜外麻醉,比较2组产妇的初乳时间、产后24h泌乳量及新生儿Apgar评分。结果观察组的初乳时间显著短于对照组,产后24h泌乳量明显多于对照组,差异均有统计学意义(P<0.05)。2组新生儿Apgar评分相比差异无统计学意义(P>0.05)。结论罗哌卡因复合舒芬太尼腰—硬联合阻滞较硬膜外麻醉更有利于产妇产后早泌乳、多泌乳,两种麻醉方式均不影响新生儿Apgar评分。
Objective To investigate the effects of different anesthesia with ropivacaine and sufentanil on labor-lactation and newborn infants during painless labor. Methods 248 pregnant women receiving painless delivery were randomly divided into observation group and control group, 124 cases in each group. The observation group was treated with ropivacaine and sufentanil combined with lumbar-epidural block. The control group was treated with ropivacaine Fentanyl epidural anesthesia, the two groups of maternal colostrums time, lactation volume 24 h after birth and neonatal Apgar score. Results The colostrum of the observation group was significantly shorter than that of the control group, and the amount of lactation was significantly more than that of the control group after 24 hours. The differences were statistically significant (P <0.05). There was no significant difference in Apgar score between two groups (P> 0.05). Conclusion Ropivacaine and sufentanil combined with lumbar-hard combined blockade is more conducive to postpartum early lactation and lactation than epidural anesthesia. Neither Apgar score nor neonatal Apgar score is affected by either anesthesia.