Subarachnoid Injection Of Sufentail For Labor Analgesia Clinical Research

Background Delivery is one of the maternal normal physiological phenomena,and the intense pain of childbirth make the pregnant women highly stressed leading to a series of changes in pregnant women like affecting labor progress and even threatening the safety of mother and baby.So the cesarean delivery rate is greatly increased.Epidural is one of the symbols of modern civilization of obstetric.It not only the rights of every maternal,but also significantly increase the safety of mother and baby during delivery phase.Combined spinal epidural block is a commonly used method of labor analgesia at home and abroad.However,the lines subarachnoid injection of labor analgesia has been controversial in aspects of labor,delivery methods,fetal and the influence of the relative merits of the two ways has not yet been determined.Objective To investigate the subarachnoid injection of sufentanil for labor analgesia effects,in order to provide reference for clinical medication.Methods Approved by the ethics committee of the Central Hospital of Zhumadian,60 cases of pregnant women in our hospital implemented intravenous anesthesia for painless childbirth were divided into control group and observation group in accordance with the principle of random and voluntary from February 2015 to September 2016.The control group of mothers used ropivacaine for combined spinal epidural block in labor analgesia,while observation group of women us-aged sufentanil.Some phenomena of the groups were compared such as maternal analgesia effect,labor time,maternal hemodynamic changes,delivery methods,the process of exercise capacity,fetal and neonatal conditions,postpartum complications,adverse drug reactions,etc.Results(1)Maternal Pain VAS score of observation group was obviously lower than the control group,and this has statistically significant(P < 0.05).(2)Groups of maternal labor observation active stage and the second stage of labor time was significantly shorter than that of the control group,statistically significant(P< 0.05);the women in the two groups of the first production process latency and duration time difference of no statistical significance(P > 0.05).(3)There was no significant difference in blood flow dynamics between the two groups(P > 0.05).(4)Two groups of childbirth puerpera natural and cesarean section rate difference was statistically significant(P > 0.05).(5)Two groups of maternal exercise capacity was 0,the difference was not statistically significant(P > 0.05).(6)Two groups of maternal neonatal umbilical vein blood gas analysis,Apgar score and other indicators,the difference was not statistically significant(P > 0.05).(7)Two groups of maternal postpartum hemorrhage,postpartum 4H maturation and perinea laceration and other aspects of the comparison,the difference was not statistically significant(P > 0.05).(8)In two groups of maternal respiratory depression,nausea,vomiting,fever,itchy skin and urinary retention,no significant difference,there is no statistical significance(P > 0.05).Conclusion(1)Subarachnoid injection line sufentanil labor analgesia has good analgesic effect.(2)Subarachnoid sufentanil injection line of labor analgesia could shorten the maternal first “active” and the second labor,and also labor cutting production rate is lower.(3)Intrathecal sufentanil for labor analgesia has no effect on maternal hemodynamic.(4)Intrathecal sufentanil for labor analgesia does not affect the work ability,maternal fetal and neonatal Apgar score.(5)Subarachnoid injection line sufentanil labor analgesia without increasing maternal respiratory depression,nausea,vomiting,itching,urinary retention and other adverse reactions.