罗哌卡因复合舒芬太尼在硬膜外分娩镇痛中的应用效果观察

目的探讨罗哌卡因复合舒芬太尼在硬膜外分娩镇痛中的应用效果。方法将92例产妇随机分为观察组和对照组各46例。观察组予以罗哌卡因复合舒芬太尼硬膜外麻醉,对照组单纯予以罗哌卡因硬膜外麻醉。比较2组产妇的麻醉起效时间、完全阻滞时间、镇痛持续时间、镇痛效果以及麻醉后的不良反应。结果观察组镇痛有效率为93.5%,高于对照组的78.3%;麻醉起效时间和完全阻滞时间少于对照组,镇痛持续时间长于对照组,差异均有统计学意义(P<0.05)。观察组术后不良反应发生率为8.7%,对照组为10.9%,差异无统计学意义(P>0.05)。结论罗哌卡因复合舒芬太尼用于硬膜外分娩镇痛效果确切,且不良反应发生率低,是一种安全有效的麻醉方式,值得临床进一步推广使用。

Effect observation of ropivacaine combined with sufentanil in epidural labor analgesia

Objective To explore the application effect of ropivacaine combined with sufentanil in epidural labor an- algesia. Methods 92 cases of puerpera were randomly divided into observation group and control group,46 cases in each group. The observation group was received epidural anesthesia with ropivacaine combined with sufentanil, while the control group was received epidural anesthesia with ropivacaine only. The anesthetic onset time, completely blocking time, duration of analgesia, analgesic effect and adverse reaction after anesthesia of 2 groups were compared. Results The effective rate of anal- gesia of the observation group （93.5%） was higher than that of the control group （78.3%） ;the anesthetic onset time and complete block of time in observation group were lower than that of the control group;the duration of analgesia in observation group were longer than that of the control group, and the difference between 2 groups was statistically significant （P 〈 0.05 ）. The incidence rate of adverse reaction in observation group was 8.7% ,which was 10.9% in the control group,the difference was not statistically significant （ P 〉 0.05 ）. Conclusion Epidural labor analgesia with ropivacaine combined with sufentanil has exact effect and low incidence rate of adverse reactions, which is a safe and effective anesthesia method, and is worthy of further clinical use.