小剂量罗哌卡因联合舒芬太尼腰硬联合麻醉对产妇无痛分娩镇痛情况、产程时间及新生儿结局的影响

doi:10.3969/j.issn.1671-7171.2022.04.014

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Abstract 【Objective】To explore the effects of combined spinal-epidural anesthesia with low dose ropivacaine and sufentanil on painless labor analgesia, duration of labor and neonatal outcomes. 【Methods】From October 2019 to June 2020, 88 cases of puerperas with painless delivery in Baoji Central Hospital were selected, and they were divided into observation group (44 cases) and control group (44 cases), the grouping method was random number table. The control group was given epidural anesthesia with low-dose ropivacaine and sufentanil, while the study group was given combined spinal-epidural anesthesia with low dose ropivacaine and sufentanil, the painless labor analgesia, labor process time and neonatal outcomes were compared between the two groups. 【Results】 Compared with that before analgesia, the VAS scores of the two groups decreased at 5 min, 10 min and 30 min after analgesia, and there were significant differences in VAS scores at different time points (P<0.05); At 5-30 min after analgesia, VAS score, local anesthetic dosage, onset time of sensory block and motor block and maximum sensory block plane in the observation group were lower than those in the control group; The duration of anesthesia was longer than that of the control group, and the difference was statistically significant (P<0.05). The first stage of labor, the second stage of labor and the total stage of labor in the observation group were shorter than those in the control group (P<0.05), but there was no significant difference in the rate of conversion to cesarean section and Apgar scores at 1 min and 5 min after birth between the observation group and the control group (P>0.05). The total incidence of adverse events in the observation group was lower than that in the control group (4.55% vs 18.18%), and the difference was statistically significant (χ²=4.062, P<0.05).【Conclusion】 Combined spinal-epidural anesthesia with low dose ropivacaine and sufentanil can improve the analgesic effect of painless labor, reduce the use of narcotic drugs, shorten the labor process and reduce the incidence of adverse events.

Key words： Analgesia, Obstetrical Amides /TU Sufentanil/TU Pregnancy Outcome Parity Labor, Obstetric

Received: 05 December 2021

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R714.3

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	ZHAO Rui
	YANG Yong-peng

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ZHAO Rui,YANG Yong-peng. Effects of Combined Spinal-Epidural Anesthesia with Low Dose Ropivacaine and Sufentanil on Painless Labor Analgesia, Duration of Labor and Neonatal Outcomes[J]. JOURNAL OF CLINICAL RESEARCH, 2022, 39(4): 528-531.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2022.04.014 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2022/V39/I4/528

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