探讨小剂量布比卡因复合芬太尼腰-硬联合麻醉在急诊剖宫产手术中应用的可行性  

作　　者：岳旭 

机构地区：[1]四川省阆中市妇幼保健院,四川阆中637400

出　　处：《医学食疗与健康》2018年第1期24-24,26,共2页Medical Diet and Health

摘　　要：目的：就小剂量布比卡因复合芬太尼腰-硬联合麻醉在急诊剖宫产手术中应用的可行性进行研究与探讨.方法：随机抽取我院2016年-2017年期间收治的急诊剖宫产产妇100例,将其随机分为观察组与对照组,其中对照组产妇接受10mg布比卡因,观察组产妇则接受小剂量布比卡因（5mg）复合芬太尼（25μg）.统计、比较两组产妇麻醉的优良率、痛觉恢复、肢体恢复等指标.结果：两组产妇均成功完成手术,但是观察组产妇麻醉优良率为90.00%,显著优于对照组64.00%（P〈0.05）;并且在痛觉恢复、肢体恢复、完全麻醉、麻醉起效所需时间以及并发症、不良反应发生率上均显著优于对照组（P〈0.05）.结论：在急诊剖宫产产妇手术期间釆用小剂量布比卡因复合芬太尼腰一硬联合麻醉能够有效提高产妇麻醉优良率.Objective ： To study the feasibility of low - dose bupivacaine combined with fentanyl for spinal - epidural anesthessarean section. Method： 100 cases of emergency caesarean section admitted to our hospital from 2016 to 2017 were randomly divided into observation group and ccntrol group. The control group received 10 mg bupivacaine and the observation group received small Dose bupivacaine （5 mg） was combined with fentanyl （25 jxg）. Statistics,comparison of the two groups of maternal anesthesia rate of good,pain recovery,mb recovery and other indicators. Results：The two groups of women completed the operation successfully. However, the rate of anesthesia in the observation group was 90. 00% ,significantly higher than that in the control group （64. 0 0 % ） （P 〈0. 05） ; and the pain relief,limb reand complications,the incidence of adverse reactions were significantly better than the control group （ P 〈 0. 05 ）. Conclusions：The use of low - dose bupivacaine combined with lumbar - hard anesthesia during cesarean section during emergency cesarean delivery can effectively improve the rate of anesthesia.

关 键 词：布比卡因 芬太尼 腰-硬联合麻醉 剖宫产 

分 类 号：R71[医药卫生—妇产科学]