摘要
目的 观察小剂量罗哌卡因（R）复合舒芬太尼（S）腰麻用于剖宫产术的效果。方法 60例病人随机分成三组，A（R5mg＋S5μg）、B（R7．5ng＋S5μg）、C（R10mg＋S5μg），每组20例，观察麻醉镇痛效果（0～3）、下肢肌松效果（改良Bromage评分）、产妇低血压发生率、胎儿Apgar评分、不良反应（头昏、恶心、呕吐、瘙痒、心动过缓）发生率。结果 B组镇痛效果优90％，C组优95％。A组10例病人切皮前（8／10）或手术中（2／10）均需硬膜外加药；产妇低血压发生率A组小于B、C组。结论 小剂量罗哌卡因复合舒芬太尼用于剖宫产术更为安全有效。
Objective To observation the efficacy and safety of spina anesthesia with small dose of ropivacaine and sufentanil for cesarean section. Methods Sixty partuients.were randomly divided into three groups with 20 eases each. The anesthetics in each group was diluted to 3ml with normal saline. The observatory parameters included： sensory changes assessed by ice and pin prick and motor change assessed by modified Bromage Score , hypotension oeeuranee,Apgar score, and complications. Results Efficient Analgisia could be achieved both in groupB and C. Apgar score was 10 at 1 and 5 min in both groups. The incidence of hypotension was similar in group B （45%） and C （50%）; the incidence of complications （nausea, vomiting and pruritus） was similar among three groups, Conclusion It has been demonstrated in this study that spinal anesthesia with 7. 5 mg of ropievaeaine and 5μg of sufentanil safe and efficient for cesarean section.
出处
《华中医学杂志》
2006年第2期105-105,109,共2页
Central China Medical Journal
关键词
罗哌卡因
舒芬太尼
剖宫产术
麻醉
脊髓
Ropivacaine Sufentanil Cesarean section Anesthesia,spinal
