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目的探讨罗哌卡因联合舒芬太尼腰硬联合麻醉对无痛分娩产妇母婴结局的影响。方法选取南平市妇幼保健院2015年6月—2016年4月收治的无痛分娩产妇240例,两组产妇在分娩时均采用罗哌卡因联合舒芬太尼麻醉,观察组产妇采用腰硬联合麻醉方式,对照组采用硬膜外麻醉方式。比较两组产妇给药后5 min、15 min、25min、宫口全开时视觉模拟评分法(VAS)评分,新生儿出生1 min、5 min时新生儿Apgar评分,镇痛起效时间、产程、满意度。结果观察组产妇实施镇痛5 min、15 min、25 min及宫口全开时VAS评分低于对照组(P<0.05)。观察组新生儿出生1 min、5 min时Apgar评分高于对照组(P<0.05)。观察组产妇镇痛起效时间、产程短于对照组,满意度高于对照组(P<0.05)。结论无痛分娩产妇行罗哌卡因联合舒芬太尼腰硬联合麻醉的效果较好,起效快、产程短且对新生儿影响较小,满意度高,可有效降低对母婴结局的影响。
Objective To investigate the effect of ropivacaine combined with sufentanil combined with spinal anesthesia on the outcome of maternal infant painless childbirth. Methods 240 cases of painless childbirth in Nanping Maternal and Child Health Hospital from June 2015 to April 2016 were selected. Both groups were anesthetized with ropivacaine combined with sufentanil during labor. Joint anesthesia, the control group using epidural anesthesia. The visual analogue scale (VAS) scores at 5 min, 15 min, 25 min and full open cervix were compared between the two groups. Apgar score, time to onset of analgesia, labor duration Satisfaction. Results In the observation group, the VAS score of analgesia in 5 min, 15 min, 25 min and full cervix was lower than that in the control group (P <0.05). The Apgar score in observation group was significantly higher than that in control group at 1 min and 5 min after birth (P <0.05). The observation group maternal analgesia onset time, labor shorter than the control group, satisfaction was higher than the control group (P <0.05). Conclusion The painless childbirth with ropivacaine combined with sufentanil combined with spinal and epidural anesthesia has better effect, faster onset, shorter labor duration and less impact on the newborn with high satisfaction, which can effectively reduce the effect on maternal and infant outcomes influences.