舒芬太尼联合小剂量罗哌卡因行腰硬联合麻醉剖宫产术的临床观察  

Clinical effect of sufentanil combined with low dose ropivacaine on spinal-epidural anesthesia cesarean section

作　　者：章明[1] 严英[1] 劳惠丽[1] 

机构地区：[1]绍兴第二医院麻醉科,绍兴312000

出　　处：《实用药物与临床》2013年第5期390-392,共3页Practical Pharmacy and Clinical Remedies

摘　　要：目的观察舒芬太尼联合小剂量罗哌卡因在行腰硬联合麻醉剖宫产术中的临床效果。方法 2012年7-12月我院收治的行腰硬联合麻醉剖宫产术的202例患者,随机分为对照组和观察组,对照组98例采用罗哌卡因进行麻醉,观察组104例采用舒芬太尼联合小剂量罗哌卡因进行麻醉,比较两组的临床疗效。结果观察组达到0级最佳麻醉镇痛效果的例数占63.46%,最差麻醉镇痛效果的例数占0.96%,与对照组比较差异具有统计学意义,P<0.05。麻醉前和麻醉后30 min,观察组平均动脉压明显高于对照组,两组比较差异具有统计学意义,P<0.05。结论行腰硬联合麻醉剖宫产术中,舒芬太尼联合小剂量罗哌卡因较单纯使用罗哌卡因有更好的临床效果。Objective To observe the clinical effect of sufentanil combined with low dose ropivacain on spi- nal-epidural anesthesia cesarean section. Methods 202 cases of patients with spinal-epidural anesthesia cesarean sec- tion in our hospital from July 2012 to December 2012 were divided into control group and observation group,98 pa- tients in control group adopted ropivacain for anesthesia, while 104 patients in observation group adopted sufentanil combined with low dose ropivacain for anesthesia. The clinical effect of the two groups was compared. Results The number of patients who occurred 0 level best anesthesia analgesic effect in observation group account for 63.46% ,the number of patients who occurred the worst anesthesia analgesic effect account for 0. 96%, significant differences were observed between the two groups （ P 〈 0. 05 ）. The mean arterial pressure of observation group was obviously higher than that of control group at 30 min before and after anesthesia（ P 〈 0. 05 ）. Conclusion Sufentanil combined with low dose ropivacain on spinal-epidural anesthesia cesarean section is better than ropivacain only.

关 键 词：舒芬太尼 罗哌卡因 腰硬联合麻醉 剖宫产术 

分 类 号：R614[医药卫生—麻醉学]