目的研究分析采用罗哌卡因复合舒芬太尼进行分娩镇痛对产妇和婴儿的影响。方法选取2009-2012年于泰安市第四人民医院妇产科进行阴道分娩的产妇100例,分为对照组和研究组,其中对照组不采用任何镇痛,研究组采用罗哌卡因复合舒芬太尼进行麻醉镇痛,比较两组分娩时疼痛程度,新生儿脐静脉和产妇桡动脉血气分析,比较新生儿Apgar评分和产妇分娩后2 h和24 h的失血量,随访12个月对婴儿进行智力和运动能力评估,采用智力发展指数(MDI)和运动发展指数(PDI)进行评估。结果研究组生产疼痛明显低于对照组,其差异具有统计学意义(P<0.05);研究组pH值以及胎儿的氧分压高于对照组,PaCO2低于对照组,具有统计学意义(P<0.05);研究组新生儿Apgar评分和产妇分娩后2 h、24 h失血量差异无统计学意义(P>0.05);随访12个月,对婴儿进行智力和运动评估,采用MDI和PDI评分,两组婴儿评分差异无显著性(P>0.05)。结论罗哌卡因复合舒芬太尼进行分娩镇痛,能够减轻产妇的痛苦、安全有效,对产妇和新生儿的氧合状态具有改善作用。

【Objective】To study and analyze the impact of labor analgesia of ropivacaine combined sufentanil on infant and mom.【Methods】100 puerpera doing vaginal delivery were chosen and divided into control group and study group. Control group adopted no analgesia while study group adopted ropivacaine combined sufentanil for analgesia. Pain level during delivery, blood gas analysis of newborn umbilical vein and puerpera radial artery, Apgar grades of newborns and bleeding amount 2 h and 24 h after delivery of puerpera of the 2 groups were compared. MDI and PDI were adopted to evaluate intelligence and athletic abilities of newborns.【Results】Pain level of delivery of study group was obviously lower than control group(P<0.05). There was significant difference between blood gas analysis of newborn umbilical vein and puerpera radial artery(P<0.05) and no significant difference between Apgar grades of newborns and bleeding amount 2 h and 24 h after delivery of puerpera of the 2 groups(P>0.05). There was no significant difference between MDI and PDI grades(P>0.05). 【Conclusion】Application of ropivacaine combined sufentanil in labor analgesia can relieve the pain of puerpera. It's safe and effective and can improve oxygenation of puerpera and newborns.