罗哌卡因、舒芬太尼联合穴位针刺在无痛分娩中的应用效果-《西部中医药》

文章信息/Info

Title:: The Effects of Ropivacaine, Sulfentanyl and Acupoint Needling Applied to Painless Labor

Author(s):: FAN Wei, YANG Lin, SHI Yuqin△; Gansu Provincial Maternity and Child-care Hospital, Lanzhou 730050, China

摘要:: 目的：探讨罗哌卡因、舒芬太尼联合穴位针刺在无痛分娩中对产妇及新生儿的影响。方法：采用新产程时限标准，以罗哌卡因、舒芬太尼联合穴位针刺的200例产妇作为试验组，同期未采取任何减痛减压方法分娩的200例产妇作为对照组，观察2组孕妇产程、新生儿阿氏评分及产后出血发生率情况。结果：试验组第一产程时间明显低于对照组，第二产程明显长于对照组，差异具有统计学意义(P＜0.05)；第三产程2组比较差异无统计学意义(P＞0.05)；总产程2组比较差异无统计学意义(P＞0.05)。新生儿窒息及产后出血的发生率2组比较无明显差异(P＞0.05)。结论：罗哌卡因、舒芬太尼联合穴位针刺无痛分娩不会延长产程，可将第一、二产程时限重新划分，是对产妇及新生儿较安全的一种分娩模式。

Abstract:: Objective: To discuss the influence of ropivacaine, sulfentanyl and acupoint needling on puerperant and neonates in painless labor. Methods: After using time limit standard of new birth process, 200 puerperants who accepted ropivacaine, sulfentanyl and acupoint needling were chosen as the experiment group, another 200 puerperants who delivered without any method to alleviate the pain were taken as the control group, the incidence of postpartum hemorrhage, birth process of pregnant women and Newborns′s APGAR score of both groups were observed. Results: The observation group was shorter than the control group obviously in the time of the first stage of labor, longer than the control group in the time of the second stage of labor, and the difference had statistical meaning(P＜0.05); the difference had no statistical meaning in the comparisons of the time of the third stage of labor between both groups (P＞0.05), and the difference had no statistical meaning in the comparisons of total birth process between both groups (P＞0.05). The comparisons had no obvious difference in the comparisons of the incidences of asphyxia neonatorum and postpartum hemorrhage (P＞0.05). Conclusion: Ropivacaine, sulfentanyl and acupoint needling for painless labor would not prolong the birth process, and it’s a more safe delivery mode for the puerperant and neonates which could divide the time limits of the first stage and the second stage of labor all over again.