摘要
Abstract
OBJECTIVE:To probe into the clinical application value of sufentanil combined with ropivacaine for epidural anesthesia in painless parturition.METHODS:120 cases of hospitalized puerpera admitted from Jul.2013 to Jun.2015 were collected to be divided into observation group and control group via the random number table,with 60 cases in each group.The control group received natural delivery,and the observation group were treated with sufentanil combined with ropivacaine for epidural anesthesia.The analgesic effects,delivery mode and stages of labor were analyzed in two groups.RESULTS: The pain rate of grade 0 and grade I of observation group were significantly higher than that of control group,while the pain rate of gradeⅡand gradeⅢwere significantly lower than that of control group,with statistical significance (P<0.05).The rate of natural delivery of observation group was significantly higher than that of control group[68.33%(41/60)VS 45.00%(27/60)],the rate of cesarean section of observation group was significantly lower than that of control group[16.67%(10/60)VS 36.67%(15/60)],with statistical significance (P<0.05).The duration of active period and the second stage of labor in observation group were significantly shorter than that in control group [(3.75 ±0.58) h VS (5.12 ±0.61) h,(0.81 ±0.25) h VS (1.12 ±0.48) h],the difference was statistically significant (P<0.05).The Apgar score of newborn after the birth of 5,10 min of observation group were (8.15 ±0.09)scores and (9.29 ±0.08) scores,and of control group were (8.17 ±0.08) scores and (9.28 ±0.11) scores,the difference was on statistically significant ( P>0.05 ).The use rate of oxytocin in observation group was 15.00%(9/60),and in control group was 10.00%(6/60),there was no significant difference (P >0.05).The satisfaction of pain relief in observation group was 83.33%;the improved Bromage scores after delivery of 4,8,12 and 24 h were (1.11 ±0.66) scores,(0.68 ±0.52) scores,(0.43 ±0.48) scores,(0.28 ±0.44) scores;and there were no obvious adverse reactions.CONCLUSIONS:The effects of sufentanil combined with ropivacaine for epidural anesthesia on painless parturition is significant,with no obvious adverse reactions,which is worthy of promotion.关键词
舒芬太尼/罗哌卡因/硬膜外麻醉/无痛分娩Key words
Sufentanil/Ropivacaine/Epidural anesthesia/Painless parturition分类
药学
