目的 综合分析初产妇应用舒芬太尼联合罗哌卡因麻醉效果。方法 选取本院收治的80例初产妇(足月单胎)作为研 究对象，按照数字随机表法随机分为实验组(应用舒芬太尼联合罗哌卡因麻醉方法)和对照组(应用舒芬太尼麻醉方 法)，每组均为40例。采用SPSS20.0统计学软件进行统计学分析两组初产妇的镇痛起效时间、镇痛维持时间、不良 反应发生率(恶心呕吐、皮肤瘙痒)、麻醉前后视觉疼痛评分。结果 实验组初产妇镇痛起效时间显著短于对照组 初产妇(P<0.05)，实验组初产妇镇痛维持时间显著长于对照组初产妇(P<0.05)，实验组初产妇恶心呕吐、皮肤瘙 痒等不良反应发生率显著低于对照组初产妇(P<0.05)；麻醉前 ，两组初产妇的视觉疼痛评分比较无统计学意义 (P>0.05)，麻醉后10min两组初产妇的视觉疼痛评分均有所下降(P<0.05)，而实验组初产妇的视觉疼痛评分降低幅 度显著高于对照组初产妇(P<0.05)。结论 初产妇应用舒芬太尼联合罗哌卡因麻醉效果显著优于单独应用舒芬太尼 麻醉效果。

Objective To comprehensively analyze the anesthetic effect of sufentanil combined with ropivacaine in primary women. Methods A total of 80 first-time mothers (full-term single fetuses) treated in our hospital were selected as study objects, and randomly divided into experimental group (using sufentanil combined with ropivacaine anesthesia) and control group (using sufentanil anesthesia) according to the digital randomization table, with 40 cases in each group. SPSS20.0 statistical software was used for statistical analysis of the onset time of analgesia, duration of analgesia, incidence of adverse reactions (nausea and vomiting, pruritus of the skin), and visual pain scores before and after anesthesia for first-time mothers in the two groups. Results The onset time of analgesia in the experimental group was significantly shorter than that in the control group (P<0.05), the duration of analgesia in the experimental group was significantly longer than that in the control group (P<0.05), and the incidence of adverse reactions including nausea, vomiting and pruritus in the experimental group was significantly lower than that in the control group (P<0.05). Before anesthesia, the visual pain scores of the two groups were not statistically significant (P>0.05), and the visual pain scores of the two groups were decreased at 10min after anesthesia (P<0.05), while the visual pain score of the experimental group was significantly lower than that of the control group (P<0.05). Conclusion The efficacy of sufentanil combined with ropivacaine was better than that of sufentanil alone.