中国现代医学杂志2017，Vol.27Issue(10)：76-79,4.DOI:10.3969/j.issn.1005-8982.2017.10.015
罗哌卡因及舒芬太尼不同硬膜外分娩镇痛方案对产后尿潴留的影响
Effect of different epidural labor analgesia regimens with Ropivacaine and Sufentanil on postpartum urinary retention
摘要
Abstract
Objective To observe the effect of different epidural labor analgesia methods with Ropivacaine and Sufentanil on postpartum urinary retention (PUR).Methods Totally 76 pregnant women undergoing vaginal childbirth with epidural labor analgesia were randomly divided into two groups,i.e.group A (using 0.1％ Ropivacaine and 0.3 μg/ml Sufentanil) and group B (using 0.075％ Ropivacaine and 0.5 μg/ml Sufentanil).In all the patients epidural catheters were placed into L3-L4 epidural space at 3-cm cervical dilation for infusion of the analgesics.The Visual Analogue Scale (VAS),the Rating Scale for Muscle Strength of the legs,PUR of the delivery women and the Apgar scores of the infants were recorded.Results The VAS score after epidural labor analgesia was less than 4 in all of patients,but there was no difference between the two groups (P ＞ 0.05).Muscle weakness was not observed in any delivery woman.There were no significant differences in the Apgar scores of the infant between the two groups (P ＞0.05).PUR was observed in 2 patients of the group A and 8 patients of the group B 6 hours after childbirth (P ＜0.05),but not observed 24 hours after childbirth.Conclusions Epidural administration of 0.1％ Ropivacaine plus 0.3 μg/ml Sufentanil or 0.075％ Ropivacaine plus 0.5 μg/ml Sufentanil can effectively relieve pain of labor,but the risk of PUR is lower with the former analgesic regimen.关键词
硬膜外分娩镇痛/产后尿潴留/舒芬太尼/罗哌卡因Key words
epidural labor analgesia/postpartum urinary retention/Sufentanil/Ropivacaine分类
医药卫生引用本文复制引用
张洁,李爱媛..罗哌卡因及舒芬太尼不同硬膜外分娩镇痛方案对产后尿潴留的影响[J].中国现代医学杂志,2017,27(10):76-79,4.基金项目
湖南省自然科学基金(No:2016JJ6052) （No:2016JJ6052）
