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目的探讨0.1%罗哌卡因复合舒芬太尼硬膜外麻醉在无痛分娩中的应用效果。方法选取重庆市铜梁区人民医院2014年8月—2016年8月收治的产妇86例,随机分为对照组和观察组,各43例。对照组产妇采用常规方法指导分娩,观察组产妇在对照组基础上给予0.1%罗哌卡因复合舒芬太尼硬膜外麻醉。比较两组产妇产程、产后出血量、新生儿Apgar评分;统计两组患者分娩方式(自然分娩、剖宫产、负压吸引、器械助产),并评价比较两组产妇视觉模拟评分量表(VAS)评分,统计其催产素使用情况。结果观察组产妇产程短于对照组,产后出血量少于对照组,新生儿Apgar评分高于对照组(P<0.05)。观察组产妇自然分娩率高于对照组(P<0.05)。分娩前,两组产妇VAS评分比较,差异无统计学意义(P>0.05);分娩期间,观察组产妇VAS评分低于对照组(P<0.05)。两组产妇催产素使用率比较,差异无统计学意义(P>0.05)。结论采用0.1%罗哌卡因复合舒芬太尼硬膜外麻醉在无痛分娩中的应用效果较好,可有效缩短产程,减少术中出血量,促进自然分娩顺利进行,且可减轻产妇疼痛程度。
Objective To investigate the application effect of 0.1% ropivacaine combined with sufentanil epidural anesthesia in painless labor. Methods Totally 86 pregnant women admitted to Tongliang District People’s Hospital of Chongqing from August 2014 to August 2016 were randomly divided into control group and observation group, with 43 cases in each group. The control group maternal use of conventional methods to guide the delivery, the observation group maternal 0.1% ropivacaine combined sufentanil epidural anesthesia in the control group. The incidence of postpartum hemorrhage and neonatal Apgar score were compared between the two groups. The delivery modes (spontaneous delivery, cesarean section, vacuum suction, and equipment midwifery) were compared between the two groups. The visual analog scale VAS) score, statistics of its oxytocin use. Results In the observation group, the labor duration was shorter than that in the control group, and the amount of postpartum hemorrhage was less than that in the control group. The Apgar score in neonates was higher than that in the control group (P <0.05). The rate of natural childbirth in observation group was higher than that in control group (P <0.05). Before delivery, there was no significant difference in VAS score between the two groups (P> 0.05). During delivery, the VAS score of the observation group was lower than that of the control group (P <0.05). The two groups of maternal oxytocin use rates, the difference was not statistically significant (P> 0.05). Conclusion The application of 0.1% ropivacaine combined with sufentanil epidural anesthesia in painless childbirth is effective, which can effectively shorten the birth process, reduce the amount of intraoperative blood loss, promote the smooth progress of natural childbirth, and reduce the maternal pain degree.