罗哌卡因及舒芬太尼不同硬膜外分娩镇痛方案对产后尿潴留的影响

发布时间：2018-08-04 14:27

【摘要】：目的探讨不同硬膜外分娩镇痛方案对产后尿潴留的影响。方法选取2016年1月-2016年9月该院拟硬膜外分娩镇痛下自然分娩产妇76例。按照数字表法随机分为两组:A组患者给予0.1%罗哌卡因+0.3μg/ml舒芬太尼,B组0.075%罗哌卡因+0.5μg/ml舒芬太尼。两组患者均于宫口开放3 cm时经L_3-L_4间隙行硬膜外穿刺置管行分娩镇痛。记录产妇行分娩镇痛后视觉模拟评分(VAS)、下肢肌力、尿潴留及新生儿出生后Apgar评分。结果两组产妇分娩镇痛后各时间点VAS评分4,组间差异无统计学意义(P0.05)。两组患者均未出现明显双下肢肌力减退。两组新生儿出生后Apgar评分差异无统计学意义(P0.05)。产后6 h A组出现2例产后尿潴留,B组出现8例,组间差异有统计学意义(P0.05)。产后24 h两组患者均未发现明显尿潴留。结论硬膜外给予0.1%罗哌卡因+0.3μg/ml舒芬太尼或0.075%罗哌卡因+0.5μg/ml舒芬太尼均可有效缓解产妇分娩疼痛,但前者产后尿潴留比例更低。
[Abstract]:Objective to investigate the effect of epidural analgesia on postpartum urinary retention. Methods 76 cases of spontaneous delivery from January 2016 to September 2016 were selected. According to the digital table method, two groups were randomly divided into two groups: group A received 0.1% ropivacaine 0.3 渭 g/ml sufentanil, group B 0.075% ropivacaine 0.5 渭 g/ml sufentanil. The patients in both groups were treated with epidural catheterization and labor analgesia through L_3-L_4 space 3 cm after the opening of uterine orifice. Visual analogue score (VAS), urinary retention and postnatal Apgar score were recorded. Results there was no significant difference in VAS score between the two groups at each time point after labor analgesia (P0.05). In both groups, there was no significant decrease in lower limb muscle strength. There was no significant difference in postnatal Apgar score between the two groups (P0.05). There were 2 cases of postpartum urinary retention in group A and 8 cases in group B at 6 hours postpartum, the difference was statistically significant (P0.05). No significant urinary retention was found in both groups at 24 h postpartum. Conclusion epidural administration of 0.1% ropivacaine 0.3 渭 g/ml sufentanil or 0.075% ropivacaine 0.5 渭 g/ml sufentanil can effectively relieve parturient pain, but the rate of postpartum urinary retention is lower in the former.
【作者单位】：湖南省妇幼保健院麻醉科;
【基金】：湖南省自然科学基金(No:2016JJ6052)
【分类号】：R714.3

【相似文献】