小剂量罗哌卡因复合芬太尼腰-硬联合麻醉用于急诊剖宫产的临床观察  

Clinical observation of small dose of ropivacaine combined with fentanyl-hard combined anesthesia for emergency cesarean section

作　　者：倪如飞[1] 刘涌[1] 刘国栋[1] 董志芳[1] 谢威[1] NI Rufei;LIU Yong;LIU Guodong;DONG Zhifang;XIE Wei(Department of Anesthesiology,Foshan Maternal and Child Health Hospital,Foshan 528000,China)

机构地区：[1]广东省佛山市妇幼保健院麻醉科,广东佛山528000

出　　处：《中国医药科学》2017年第14期90-92,共3页China Medicine And Pharmacy

摘　　要：目的分析小剂量罗哌卡因复合芬太尼腰-硬联合麻醉用于急诊剖宫产的临床效果。方法本次研究中选择60例进行腰硬联合麻醉的急诊剖宫产患者作为研究对象,分为甲组和乙组,分别采用大剂量罗哌卡因复合芬太尼和小剂量罗哌卡因复合芬太尼进行麻醉诱导,对效果进行分析。结果乙组的各项时间明显少于甲组,乙组的不良反应率明显低于甲组,对甲组和乙组的治疗效果进行分析,乙组的麻醉效果明显高于甲组,差异有统计学意义(P<0.05)。结论对接受腰-硬联合麻醉的急诊剖宫产患者采用小剂量罗哌卡因复合芬太尼进行麻醉诱导,其优势明显,整体满意度比较高,因此值得推广和应用。Objective To analyze the clinical effect of low-dose ropivacaine compound fentanyl-hard combinedanesthesia for emergency caesarean section.Methods60cases with waist hard joint anesthesia emergency cesareansection patients were selected as the research object,and they were divided into group A and group B,and large doseropivacaine combined with fentanyl and small dose ropivacaine combined with fentanyl were used respectively.Theeffect was analyzed.Results The time of group B was significantly less than that of group A.The adverse reaction rateof group B was lower than that of group A.The effect of the anesthetic effect of group B was significantly higher thanthat of group A.The difference between the two groups was statistically significant(P<0.05).Conclusion For thepatients with emergency cesarean section with combined spinal epidural anesthesia,Induction of anesthesia with lowdose ropivacaine combined with fentanyl has obvious advantages.Its overall satisfaction is higher.Therefore,it is withpopularization and application.

关 键 词：小剂量 罗哌卡因 芬太尼 腰-硬联合麻醉 剖宫产 

分 类 号：R614[医药卫生—麻醉学]