罗哌卡因复合舒芬太尼硬膜外麻醉在初产妇经阴道分娩产妇无痛分娩中的应用及对产程及母婴的结局影响

doi:10.3969/j.issn.1006-6233.2018.12.005

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Abstract Objective: To study the application of ropivacaine combined with sufentanil epidural anesthesia in primipara of vaginal delivery of painless childbirth and its impact on labor, maternal Methods: 108 cases of primiparous women receiving vaginal delivery in our hospital from January 2017 to December 2017 were enrolled in this study. All the patients were divided into control group and observation group according to random number table method, 54 cases in each group. The women in the control group were given epidural ropivacaine alone for anesthesia, and the women in the observation group were given epidural anesthesia with ropivacaine and sufentanil. The analgesic indexes of the two groups were compared, the degree of pain in different time, the duration of labor and the maternal and infant outcome. Results: The observation group maternal pain onset time, complete block time were lower than the control group, duration of analgesia was higher than the control group, the difference was statistically significant (P<0.05); The VAS scores of pain in two groups were lower than that before anesthesia 10min, 1h and 2h after anesthesia, and the difference was statistically significant (P<0.05). The observation group maternal first stage of labor, the second stage of labor, the third stage of labor time were lower than the control group, the difference was statistically significant (P<0.05); The incidence of adverse maternal-infant outcomes in the observation group was 5.6% (3/54) lower than that in the control group (18.5%, 10/54), the difference was statistically significant (P<0.05). Conclusion: Ropivacaine combined with sufentanil epidural anesthesia in vaginal delivery of primiparous painless childbirth application effect is very significant. It can effectively improve the analgesic effect of anesthesia, and reduce the pain of childbirth delivery, shorten the labor process, reduce the adverse of mother and child. The outcome is worth clinical promotion.

Key words： Epidural anesthesia Ropivacaine Sufentanil Labor Maternal and infant outcome

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2018.12.005 OR http://www.hbyxzzs.cn/EN/Y2018/V24/I12/1953

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