Analysis of clinical application effects of Esketamine combining Sufentanil in labor analgesia and their impacts on postpartum depression.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-10-01 DOI:10.12669/pjms.40.9.8689
Haoyu Jiang, Shoubo Quan, Yahai Su, Jingyi Li, Xuefeng Zhang
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Abstract

Objective: To evaluate the clinical effects of Esketamine combining Sufentanil in labor analgesia and their impacts on postpartum depression.

Methods: This was a retrospective study. One hundred and fifty primiparae with spontaneous labor were selected at SSL Central Hospital of Dongguan City from July 10, 2021 to May 10, 2022 as the research objects and randomly divided into two groups (each n=75). While the control group underwent epidural infusion of Sufentanil for analgesia, the study group was administered Esketamine combining Sufentanil. Compared analgesic effects, time of birth course, adverse reactions, pain intensity, scores assigned to depression and anxiety before analgesia and after delivery were made for pregnant women in both groups.

Results: The response rates of the study and control groups reached 100% and 93%, respectively, with statistically significant differences (p=0.02). The time of the first, second, and third stages of labor in the study group were all significantly lower than that of the control group; showing statistical significance (p=0.00). Regarding adverse reactions showed no statistically significant differences (p=0.44). Moreover, the study group showed noticeably lower pain intensity than those of the control group during delivery, 20 minutes and one hour after delivery; and their differences were statistically significant (p=0.00). After delivery, both the SAS and SDS of the study group were respectively lower than those of the control group, with statistically significant differences as well (p=0.00).

Conclusions: Applying Esketamine combining Sufentanil in epidural painless delivery produces rather favorable analgesic effects, shortens the time of the birth process, and improves postpartum anxiety and depression without leading to more adverse reactions.

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艾司他敏联合舒芬太尼在分娩镇痛中的临床应用效果及其对产后抑郁的影响分析。
目的评估 Esketamine 联合 Sufentanil 在分娩镇痛中的临床效果及其对产后抑郁的影响:这是一项回顾性研究。方法:本研究为回顾性研究,选取2021年7月10日至2022年5月10日期间东莞市SSL中心医院的150例初产妇作为研究对象,随机分为两组(每组75例)。对照组采用硬膜外输注舒芬太尼镇痛,研究组在舒芬太尼的基础上加用艾司他敏。对两组孕妇的镇痛效果、产程时间、不良反应、疼痛强度、镇痛前和分娩后的抑郁和焦虑评分进行比较:研究组和对照组的应答率分别达到 100%和 93%,差异有统计学意义(P=0.02)。研究组第一产程、第二产程和第三产程的时间均显著低于对照组,差异有统计学意义(P=0.00)。不良反应方面,差异无统计学意义(P=0.44)。此外,研究组在分娩时、分娩后 20 分钟和 1 小时内的疼痛强度明显低于对照组,差异有统计学意义(P=0.00)。分娩后,研究组的 SAS 和 SDS 分别低于对照组,差异有统计学意义(P=0.00):在硬膜外无痛分娩中应用 Esketamine 联合 Sufentanil 可产生良好的镇痛效果,缩短分娩过程时间,改善产后焦虑和抑郁,且不会导致更多不良反应。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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