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目的探讨罗哌卡因联合舒芬太尼用于无痛分娩的效果、并发症及对产程和新生儿阿普加评分的影响。方法回顾2007年50例罗哌卡因配合舒芬太尼椎管内麻醉行无痛分娩的病例资料,并随机选取同期50例未行无痛分娩的产妇作为对照组,对比2组产妇的剖宫产率、疼痛程度、产程、新生儿的阿普加评分,观察无痛分娩组的不良反应。结果无痛分娩组剖宫产率低于对照组;疼痛方面,分娩过程中无痛分娩组疼痛明显轻于对照组,但缝合会阴切口时2组差别无显著性;对产程影响方面,活跃期无痛分娩组短于对照组,而第二产程无痛分娩组长于对照组;新生儿阿普加评分2组间差别无显著性;不良反应方面,宫缩乏力100%(50/50),皮肤瘙痒80%(40/50),尿潴留30%(15/50),余未发现明显并发症。结论罗哌卡因、舒芬太尼椎管内麻醉行无痛分娩效果确切,安全,但应注意宫缩乏力、皮肤瘙痒、尿潴留等不良反应及对产程的影响。
Objective To investigate the effects of ropivacaine combined with sufentanil on painless childbirth and the effects of ropivacaine on labor and neonatal Apgar scores. Methods 50 cases of ropivacaine combined with sufentanil anesthesia in 2007 cases of painless childbirth data were selected and randomly selected 50 cases of painless childbirth during the same period as a control group, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology, Obstetrics and Gynecology Results painless childbirth cesarean section rate was lower than the control group; pain, pain during childbirth painless childbirth group was significantly lighter than the control group, but the suturing perineal incision no significant difference between the two groups; on labor process, the active phase Painless childbirth group shorter than the control group, while the second stage of labor painless childbirth group than the control group; newborns Apgar score between the two groups was no significant difference; adverse reactions, uterine inertia 100% (50/50) Skin itching 80% (40/50), urinary retention 30% (15/50), I found no significant complications. Conclusion Ropivacaine and sufentanil anesthesia in the line of painless childbirth exact and safe, but should pay attention to the uterine inertia, pruritus, urinary retention and other adverse reactions and the impact on labor.