CAJ | 학술논문

目的：探讨0.1%罗哌卡因复合舒芬太尼在可行走分娩镇痛中应用的安全性和可行性。方法选择待产妇280例，根据自愿要求分娩镇痛的140例为分娩镇痛组（Z组），常规分娩组140例（C组）。镇痛组（Z组）宫口开至3 cm 时行硬膜外穿刺操作，成功后开始镇痛；常规分娩组（C组）不做麻醉干预。观察组记录镇痛前即刻（T0）及镇痛后10 min（T1）、30 min（T2）、60 min（T3）、宫口开全时（T4）VAS评分，C组记录宫口开3 cm时（T0）及以后10 min（T1）、30 min（T2）、60 min（T3）、宫口开全时（T4） VAS评分；两组中转剖宫产率、产程进展及产后出血情况、两组新生儿Apgar评分。结果两组产妇改良Bromoge分级评分都是0分，两组VAS评分有显著差异（P＜0.01），两组间剖宫产率比较有显著差异（P＜0.01）。结论0.1%罗哌卡因复合舒芬太尼应用于分娩镇痛中是可行且比较安全的。
목적：탐토0.1%라고잡인복합서분태니재가행주분면진통중응용적안전성화가행성。방법선택대산부280례，근거자원요구분면진통적140례위분면진통조（Z조），상규분면조140례（C조）。진통조（Z조）궁구개지3 cm 시행경막외천자조작，성공후개시진통；상규분면조（C조）불주마취간예。관찰조기록진통전즉각（T0）급진통후10 min（T1）、30 min（T2）、60 min（T3）、궁구개전시（T4）VAS평분，C조기록궁구개3 cm시（T0）급이후10 min（T1）、30 min（T2）、60 min（T3）、궁구개전시（T4） VAS평분；량조중전부궁산솔、산정진전급산후출혈정황、량조신생인Apgar평분。결과량조산부개량Bromoge분급평분도시0분，량조VAS평분유현저차이（P＜0.01），량조간부궁산솔비교유현저차이（P＜0.01）。결론0.1%라고잡인복합서분태니응용우분면진통중시가행차비교안전적。
ObjectiveTo investigate the feasibility and safety of 0.1% ropivacaine combined with sufentanil for epidural walking labor analgesia.Methods 280 parturient patients were randomly divided into two groups, 140 parturient patients in each group: group Z (0.1% ropivacaine combined with sufentanil) and group C (spontaneous labor, control group). In group Z, 0.1% ropivacaine combined with sufentanil was administered into epidural space when the patient was conifrmed cervical dilatation=3 cm, but nothing was to do about anesthesia in group C . The VAS scores at the moment of immediately before analgesia (T0), and at the moment of 10 min (T1), 30 min (T2) and 60 min (T3) after analgesia, and the VAS scores at the moment of the cervical dilatation=10 cm (T4) were recorded in group Z, the VAS scores at the moment of the cervical dilatation=3 cm ( T0), and the VAS scores at the moment of 10 min (T1), 30 min (T2) , 60 min (T3) after the cervical dilatation=3 cm, and the VAS scores at the moment of the cervical dilatation =10 cm(T4) were recorded in group C (T4). The stage of labor, blood loss after delivery, cesarean section rate, neonatal Apgar scores were monitored.Results Compared group Z with group C, no signiifcant differences were found in modiifed Bromage scores. The VAS scores and the cesarean section rate was both signiifcantly difference between the two groups (P<0.01).Conclusion 0.1% ropivacaine combined with sufentanil is feasible and safe for walkable labor analgesia.