Curative effect and security comparison of epidural (CEA) and combined spinal-epidural(CSEA)labor analgesia with ropivacaine and sulfentanyl
- VernacularTitle:罗哌卡因复合舒芬太尼硬膜外阻滞与腰硬联合阻滞分娩镇痛疗效及安全性比较
- Author:
Hui YE
1
;
Qiusheng REN
Author Information
1. 宁波市鄞州人民医院麻醉科
- Keywords:
Ropivacaine and sulfentanyl;
CEA;
CSEA;
Labor analgesia
- From:
China Modern Doctor
2014;(27):57-59,63
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss curative effect and security comparison of epidural (CEA) and combined spinal-epidural (CSEA) labor analgesia with ropivacaine and sulfentanyl. Methods A total of 90 cases of primiparas with uterogestation were selected and divided into CEA group and CSEA group at random. The primiparas in CEA group were given 10 mL intermixture of 0.75% Ropivacaine and 0.5 μg/mL by epidural injection, while the primiparas in CSEA group were given 3 mg 0.1% Ropivacaine and 5 μg Sulfentanyl by intrathecal injection given patient-controlled epidural analgesia pump (PCEA). Results The 1st stage of labor,2nd stage of labor,3rd stage of labor,total stage of labor and occurrence rate of untoward effect in CSEA group were all shorter or lower than those in CEA group (P<0.05). After comparing the Apgar scores of primiparas in two groups upon 1 minute and 5 minutes after the birth of neonates in two groups were compared, no statistical differences appeared (P>0.05). VAS of primiparas in two groups at T0 showed no obvious differences(P>0.05),which were improved at T1,T2,T3 and in either group(P<0.01),and the improvement range in CSEA group was much better than that in control group (P<0.05 or P<0.01). Conclusion Com-pared with CEA, CSEA labor analgesia with ropivacaine and sulfentanyl has favorable curative effect, less influence on stage of labor,less untoward effect and etc.
