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目的 比较舒芬太尼与芬太尼用于分娩镇痛的效果。方法 选择初产妇 90例分成S组、F组和C组。S组和F组镇痛方法采用CSEA +PCA ,镇痛药物S组用舒芬太尼 ,F组用芬太尼 ,C组不行镇痛。镇痛组观察镇痛效果及副作用 ,并与C组比较产程情况及对新生儿的影响。结果 各产程情况 3组间差异无显著性。两镇痛组间 ,在 5min和 90minVAS评分及首次需加药时间差异有显著性。对新生儿影响 ,3组间差异无显著性。副作用两组间差异无显著性。结论 舒芬太尼用于分娩镇痛能提供良好的镇痛效果 ,与芬太尼相比 ,起效更快 ,镇痛更强 ,持续时间更长。
Objective To compare the effects of sufentanil and fentanyl on labor analgesia. Methods 90 cases of primiparas were divided into S group, F group and C group. Group S and group F analgesia method using CSEA + PCA, analgesic group S sufentanil, F group fentanyl, C group not analgesic. Analgesia group analgesic effect and side effects, and compared with the C group labor conditions and the impact on newborns. Results The status of each process between the three groups was no significant difference. Between the two analgesia groups, VAS score at 5min and 90min and the time required for the first dosing were significant. Impact on newborns, no significant difference between the three groups. There were no significant differences in side effects between the two groups. Conclusion Sufentanil used for labor analgesia can provide good analgesic effect. Compared with fentanyl, sufentanil produces faster onset of analgesia and longer duration of analgesia.