罗哌卡因与舒芬太尼腰—硬联合麻醉在剖宫产术中的效果  

Effect of ropivacaine and sufentanil combined spinal epidural anesthesia in cesarean section

作　　者：梁皓[1] 亢红妮 

机构地区：[1]宝鸡市陈仓医院麻醉科,陕西宝鸡721300

出　　处：《临床医学研究与实践》2017年第18期49-50,共2页Clinical Research and Practice

摘　　要：目的观察舒芬太尼复合罗哌卡因在剖宫产术中的镇痛效果及其对产程、术中出血量与不良反应的影响。方法选取我院收治的产妇200例作为研究对象,所有产妇均行剖宫产手术,将其随机分为研究组和对照组,每组100例。对照组产妇给予持续硬脊膜外腔麻醉,研究组患者给予腰—硬联合麻醉,观察两组产妇的麻醉效果,以及术中出血量、不良反应发生情况。结果两组产妇的疼痛VAS评分比较,差异无统计学意义(P>0.05);研究组产妇麻醉起效时间显著短于对照组,差异具有统计学意义(P<0.05);研究组产妇罗呱卡因总用量显著少于对照组,差异具有统计学意义(P<0.05);两组产妇术中出血量及不良反应发生率比较,差异无统计学意义(P>0.05)。结论在剖宫产手术中应用腰—硬联合麻醉具有起效快、镇痛效果好、用药量少、安全性高等优点,值得推广。Objective To observe the analgesic effects of ropivacaine combined with sufentanil in cesarean section and ils effect on labor lime, inlraoperalive blood loss and adverse reactions. Methods A lolal of 200 maternal admitted in our hospital were selected. All the maternal received cesarean section, and they were randomly divided into study group and control group, with 100 cases in each group. The control group received persistent epidural anesthesia, and lhe study group accepted combined spinal epidural anesthesia. The anesthesia effects, inlraoperalive blood loss and adverse reactions of lhe lwo groups were compared. Results There was no significant di^erence on VAS score between lwo groups （ P 〉0.05）. The maternal anesthesia onset lime of lhe study group was shorter than lhal of lhe control group, lhe difference was statistically significant （P 〈0.05）. The lolal amount of ropivacaine of lhe study group was less than lhal of lhe control group, lhe difference was slalislically significant （ P 〈0.05）. There were no significant differences on inlraoperalive blood loss and adverse reactions between lhe lwo groups （ P 〉0.05）. Conclusion Combined spinal epidural anesthesia in cesarean section has lhe advantages of short onset lime, good analgesic effect and high safely, which should be promoted in clinic.

关 键 词：剖宫产 腰—硬麻醉 疼痛 安全性 

分 类 号：R614[医药卫生—麻醉学]