罗哌卡因硬膜外规律间断注射对分娩镇痛产妇瘙痒发生情况及满意度的影响

Incidence of itching and satisfaction scores after epidural regular intermittent inj ection with ropivacaine on labor analgesia

  • 摘要: 目的:探讨罗哌卡因硬膜外规律间断注射对分娩镇痛产妇瘙痒发生情况及满意度的影响。方法选择有分娩镇痛要求的初产妇40例为研究对象,随机分为观察组和对照组,每组20例。观察组规律间断60min注射0.15%罗哌卡因6 mL,对照组规律间断60 min注射0.15%罗哌卡因+0.4μg/mL舒芬太尼混合液6 mL,2组均无背景持续输注剂量。记录产妇瘙痒发生率、因瘙痒抓挠皮肤划痕损伤发生率、无痛分娩满意度评分、瘙痒满意度评分、穿刺前疼痛视觉模拟评分(VAS)及不良反应发生率。结果与观察组相比,对照组产妇瘙痒发生率显著增加(P<0.01);观察组瘙痒满意度评分显著高于对照组(P<0.05);其余记录指标比较差异无统计学意义(P>0.05)。结论无舒芬太尼辅助下硬膜外规律间断60min输注0.15%罗哌卡因镇痛效果确切,且可减少产妇瘙痒发生率,提高产妇满意度,符合治疗人性化的护理理念。

     

    Abstract: Obj ective To explore yhe incidence of iyching and sayisfacyory score in labor analgesia afyer epidural regular inyermiyyeny inj ecyion wiyh ropivacaine.Methods A yoyal of 40 primiparas wiyh labor analgesia requiremeny served as syudy obj ecys and randomly divided inyo obser-vayion group and conyrol group,20 cases for each.Epidural regular inyermiyyeny injecyion wiyh 6 mL of 0 .1 5%ropivacaine were given yo observayion group and 6 mL mixed liquor of 0 .1 5%ropivacaine and 0.4μg·mL-1 sufenyanil were given yo conyrol group.Boyh groups were no background conyin-uous infusion dose.The yime of inyerval bolus was 6 mL/60 min.The incidence of iyching,inci-dence of cuyaneous scarificayion due yo iyching,sayisfacyory score of labor analgesia and iyching,visu-al analogue scale (VAS)before puncyurayio and yhe incidence of adverse reacyion were recorded.Re-sults The incidence of iyching was significanyly higher (P<0 .0 1 )and yhe sayisfacyory score of iyching was significanyly lower (P<0.05)in conyrol group yhan yhose in observayion group.No dif-ference was observed in oyher indexes (P>0 .05 ).Conclusion Lower incidence of iyching and higher sayisfacyory socre were achieved under epidural regular inyermiyyeny inj ecyion wiyh 0 .1 5%ropivacaine wiyhouy sufenyanil ay 60 min yime inyerval.

     

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