舒芬太尼对瘢痕子宫经阴道分娩患者镇痛效果及对分娩结局影响.docVIP

舒芬太尼对瘢痕子宫经阴道分娩患者镇痛效果及对分娩结局影响 　　[摘要]目的 探讨舒芬太尼对瘢痕子宫经阴道分娩患者的镇痛效果及其对分娩结局的影响。方法 选取2015年7月～2016年9月在我院分娩的96例瘢痕子?m具备经阴道分娩适应症的患者，按照随机数表法分为观察组和对照组，各48例。观察组采用舒芬太尼进行镇痛，对照组患者不进行分娩镇痛。比较两组患者VAS评分及分娩结局。结果 镇痛前，两组患者VAS评分结果比较，差异均无统计学意义（P0.05）；镇痛后10 min、20 min、30 min和宫口全开时，观察组患者VAS评分[（5.6±1.5）、（4.4±1.3）、（3.5±0.9）、（4.6±1.0）分]均低于对照组[（8.4±1.2）、（8.5±1.1）、（8.5±1.4）、（8.5±1.3）分]，差异有统计学意义（P0.05）。观察组产妇出血量[（335.2±150.8）ml]少于对照组[（446.4±146.5）ml]，住院时间[（4.1±2.0）d]短于对照组[（6.3±2.4）d]，差异有统计学意义（P0.01）。结论 舒芬太尼用于瘢痕子宫阴道分娩镇痛效果显著，能有效减轻产妇痛苦，且中转剖宫率低，缩短住院时间，显著改善母婴结局。 　　[关键词]舒芬太尼；瘢痕子宫；阴道分娩；镇痛 　　[中图分类号] R614 [文献标识码] A [文章编号] 1674-4721（2017）05（c）-0053-03 　　[Abstract]Objective To explore the influence of Sufentanil on the analgesic effect and delivery outcome of vaginal delivery in patients with scarred uterus.Methods 60 patients with scarred uterus and received vaginal delivery in our hospital from July 2015 to September 2016 were selected and divided into the obseration group and the control group according to the random number table，with 48 cases in each group.The onservation group was treated with Sufentanil for analgesia，while the control group were not enrolled labor analgesia.The scores of VAS and the delivery outcome were compared between two groups.Results Before analgesia，there were no significantly different between the scores of VAS in two groups （P0.05）； 10，20，30 min after analgesia and uterine orifice opend，the scores of VAS in the observation group [（5.6±1.5），（4.4±1.3），（3.5±0.9），（4.6±1.0） points] was lower than those in the control group [（8.4±1.2），（8.5±1.1），（8.5±1.4），（8.5±1.3） points]，and the differences were statistically significant （P0.05）.The bleeding volume in the observation group [（335.2±150.8） ml] was less than that in the control group [（446.4±146.5） ml]，the hospital stays in the observation group [（4.1±2.0） d] was shorter than that in the control group [（6.3±2.4） d]， the differences were statistically significant （P0.01）.Conclusion Sufentanil is effective in reducing the maternal pain