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舒芬太尼对椎管内分娩镇痛产妇疼痛的影响
引用本文:张毅,万亮. 舒芬太尼对椎管内分娩镇痛产妇疼痛的影响[J]. 中国继续医学教育, 2021, 0(6): 153-156
作者姓名:张毅  万亮
作者单位:重庆市万州区妇幼保健院麻醉科
摘    要:目的 探讨舒芬太尼对椎管内分娩镇痛产妇疼痛的影响.方法 选择2018年5月—2019年10月本院收治的足月妊娠实施椎管内分娩镇痛产妇80例为研究对象,按照随机数字表法分为两组,各40例.观察组舒芬太尼+罗哌卡因,对照组则单纯使用罗哌卡因,比较两组疼痛评分、第一产程时间及产后出血量;统计两组疼痛介质变化情况;比较两组椎管...

关 键 词:舒芬太尼  椎管内  分娩镇痛  疼痛  产程  镇静效果

Effect of Sufentanil on Pain of Parturients Undergoing Intraspinal Labor Analgesia
ZHANG Yi,WAN Liang. Effect of Sufentanil on Pain of Parturients Undergoing Intraspinal Labor Analgesia[J]. China Continuing Medical Education, 2021, 0(6): 153-156
Authors:ZHANG Yi  WAN Liang
Affiliation:(Department of Anesthesiology,Wanzhou District Maternal and Child Health Hospital,Chongqing 404000,China)
Abstract:Objective To explore the effect of sufentanil on pain of parturients undergoing intraspinal labor analgesia.Method 80 full-term pregnant women who underwent intraspinal delivery analgesia from May 2018 to October 2019 in our hospital were selected as the research objects and were randomly divided into two groups,40 cases in each group.The observation group was received sufentanil+ropivacaine,the control group was received ropivacaine alone.The pain score,the first stage of labor and the amount of postpartum hemorrhage were compared between the two groups.The changes of pain medium in the two groups were counted.The Ramsay score of sedation during intraspinal labor analgesia was compared between the two groups.Results The pain score of the observation group was significantly lower than that of the control group(P<0.05),the time of the first stage of labor was significantly shorter than that of the control group(P<0.05),the amount of postpartum hemorrhage was significantly lower than that of the control group(P<0.05),the level of SP and NPY in pain medium of the observation group was significantly lower than that of the control group(P<0.05),and the sedation Ramsay score of the observation group was significantly higher than that of the control group(P<0.05)at the end of 2 hours of labor analgesia and the first stage of labor.Conclusion Combined application of sufentanil for intraspinal delivery analgesia for vaginal delivery can effectively reduce the level of body pain medium,relieve delivery pain,shorten the stage of labor,and have certain sedative effect.
Keywords:sufentanil  intraspinal canal  labor analgesia  pain  labor process  sedative effect
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