舒芬太尼与芬太尼用于剖宫产术后静脉镇痛的比较  

A comparison of intravenous analgesia with sufentanil or fentanyl after cesarean section

作　　者：赵继丽 李传宇 

机构地区：[1]山东省章丘市妇幼保健院麻醉科,山东章丘250200

出　　处：《实用临床医药杂志》2012年第9期82-84,共3页Journal of Clinical Medicine in Practice

摘　　要：目的观察比较舒芬太尼与芬太尼应用于剖宫产术后患者自控静脉镇痛的效果及安全性。方法选择ASA评分Ⅰ~Ⅱ级,在连续硬膜外麻醉下行剖宫产术的患者600例,随机分为舒芬太尼组（S组）和芬太尼组（F组）2组,术后行自控静脉镇痛,镇痛药分别为舒芬太尼1μg/mL,芬太尼10μg/mL,比较自控镇痛的效果与不良反应。结果 2组均可获得有效的镇痛效果,但F组的不良反应较多,恶心呕吐发生率较高。结论舒芬太尼用于剖宫产术后静脉镇痛安全有效,副反应较少并且能明显改善产妇泌乳,提高母乳喂养的成功率。Objective To observe and compare the effect and safety of patient - controlled intravenous analgesia with sufentanil and fentanyl after cesarean section Methods A total of 600 patients with ASA I - II who received cesarean section under continuous epidural anesthesia were se- lected. They were randomly divided into the sufentanil group （S） and the fentanyl group （F）. Pa- tient self- controlled intravenous analgesia was performed after operation. Analgesia doses were sufentanil 1 gg/mL and fentanyl 10/2g/mL, respectively. The self - controlled analgesia effects and adverse reactions were compared. Results Patients in both groups reported an effective analgesia. However group F had more adverse reactions and higher incidence rates of vomiting and nausea. Conclusion Intravenous analgesia with sufentanil side effects and can significantly improve maternal for cesarean section is safe and effective with less lactation and success rate of breastfeeding.

关 键 词：舒芬太尼 芬太尼 自控静脉镇痛 剖宫产 

分 类 号：R971.2[医药卫生—药品]