三种静脉复合麻醉方法在剖宫产中的临床应用效果比较  

To Compare the Clinical Effects on Compound Intravenous Anesthesia Method of Three Kinds Applied in Cesarean Section

作　　者：张彩玲[1] 陈伟元[1] 

机构地区：[1]梅州市人民医院,广东梅州514031

出　　处：《按摩与康复医学》2013年第6期48-50,共3页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的：探讨静脉复合麻醉对剖宫产产妇及新生儿的安全性及可行性。方法：将1200例剖宫产产妇随机分为观察组及对照组，观察组采用0．5mg阿托品、0．1g苯巴比妥及0．25％罗哌卡因联合静脉麻醉，对照组产妇采用0．1g苯巴比妥及0．25％罗哌卡因联合静脉麻醉，以VAS疼痛评分标准测定患者术后1h、12h、24h及48h的镇痛效果，并比较两组新生儿阿氏评分及产妇血流指标变化情况。结果：观察组术后VAS评分均低于对照组（P〈0．05），新生儿阿氏评分及血流指标两组差异无统计学意义（P〉0．05）。结论：对行剖宫产的产妇应用静脉复合麻醉可起到较好的镇痛效果，且不会对新生儿及产妇造成较大影响，安全可靠，值得临床应用。Objective： To investigate the safety and feasibility of compound intravenous anesthesia for puerperae and newboms with cesarean section. Methods： 1200 cases of cesarean section were randomly divided into observation group and control group, the observation group used compound in travenous anesthesia with atropine of 0.5mg, phenobarbital of 0. lg and ropivacaine by 0.25%, puerperae of the control group with phenobarbital of 0. l g and ropivacaine by 0.25%, to determine the analgesia effects of postoperative l h, 12h, 24h and 48h with pain scoring criteria of VAS, and to compare the changes of neonatal Apgar scores and maternal blood flow indexes between two groups. Results： Postoperative VAS scores of observa tion group were lower than those of control group （P〈0.05）, without significant differences in neonatal Apgar scores and blood flow indexes between two groups （P〉0.05）. Conclusion： Compound intravenous anesthesia applied in puerperae of cesarean section can play preferable analgesic effects, without great influence on neonatal and maternal, which is safe, reliable and worthy of clinical applicition.

关 键 词：剖宫产 静脉麻醉 罗哌卡因 阿托品 苯巴比妥 

分 类 号：R614[医药卫生—麻醉学]