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盐酸罗哌卡因联合舒芬太尼硬膜外麻醉在足月妊娠产妇无痛分娩中的临床应用效果

周琳

医学信息2024,Vol.37Issue(16):104-107,4.
医学信息2024,Vol.37Issue(16):104-107,4.DOI:10.3969/j.issn.1006-1959.2024.16.023

盐酸罗哌卡因联合舒芬太尼硬膜外麻醉在足月妊娠产妇无痛分娩中的临床应用效果

Clinical Application Effect of Ropivacaine Hydrochloride Combined with Sufentanil Epidural Anesthesia in Painless Labor of Full-term Pregnant Women

周琳1

作者信息

  • 1. 东乡区人民医院妇产科,江西 抚州 331800
  • 折叠

摘要

Abstract

Objective To observe the clinical effect of ropivacaine hydrochloride combined with sufentanil epidural anesthesia in painless delivery of full-term pregnant women.Methods A total of 80 full-term pregnant women who gave birth in our hospital from April 2022 to April 2023 were selected as the research objects.They were divided into control group and observation group by random number table method,with 40 pregnant women in each group.The control group received natural delivery,and the observation group received ropivacaine hydrochloride combined with sufentanil epidural anesthesia for painless delivery.The different labor time,pain(VAS)score,neonatal Apgar score,delivery coping(CCB)score,delivery mode and the incidence of adverse maternal and infant outcomes were compared between the two groups.Results The first,second,third stage of labor and total labor time in the observation group were shorter than those in the control group(P<0.05).The VAS score of the observation group was lower than that of the control group(P<0.05).The neonatal Apgar score and maternal CCB score in the observation group were higher than those in the control group(P<0.05).The vaginal delivery rate in the observation group was higher than that in the control group,and the episiotomy rate and cesarean section rate were lower than those in the control group(P<0.05).The incidence of maternal and infant adverse outcomes in the observation group was lower than that in the control group(P<0.05).Conclusion Epidural anesthesia with ropivacaine hydrochloride combined with sufentanil is effective in painless delivery of full-term pregnant women,which can promote the progress of labor,shorten the time of labor,reduce labor pain,improve the Apgar score of newborns,improve maternal coping psychology,reduce lateral episiotomy and cesarean section,and prevent adverse maternal and infant outcomes.It is a safe and effective painless delivery method.

关键词

盐酸罗哌卡因/舒芬太尼/硬膜外麻醉/足月妊娠/无痛分娩

Key words

Ropivacaine hydrochloride/Sufentanil/Epidural anesthesia/Full-term pregnancy/Painless delivery

分类

医药卫生

引用本文复制引用

周琳..盐酸罗哌卡因联合舒芬太尼硬膜外麻醉在足月妊娠产妇无痛分娩中的临床应用效果[J].医学信息,2024,37(16):104-107,4.

医学信息

1006-1959

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