摘要
目的观察不同浓度罗派卡因复合芬太尼骶管阻滞对丙泊酚无痛人工流产术麻醉效果及术后下腹痛等并发症的影响。方法160例早孕妇女,随机分为4组,全麻组和复合1、2、3组,每组40例。全麻组实施单纯丙泊酚全身麻醉,复合组1、2、3组分别用0.075%、0.15%、0.3%罗派卡因和芬太尼(2ug/ml)行改良骶管阻滞麻醉,再行丙泊酚全身麻醉。结果四组病人丙泊酚诱导用量无显著性差异(P>0.05),复合2组和3组麻醉效果明显优于全麻组,P<0.05,术后下腹痛发生率和程度明显小于全麻组,P<0.05,恶心呕吐,唾液增多及皮肤瘙痒病例各复合组明显少于全麻组,P<0.05。结论0.15%罗哌卡因复合芬太尼骶管阻滞可改善丙泊酚用于人工流产术的麻醉效果,减少丙泊酚的用量,减轻术后下腹痛等并发症,对下肢运动无影响。
Objecttive To observe the effect of sacral block with Ropivacaine on artificial abortion with Propofol and on the complications after abortion such as low abdominal pain. Methods 160 cases with early pregnancy were randomly divided into 4 groups ： general anesthesia group, combined group 1, combined group 2 and combined group 3,40cases in each group. General anesthesia was performed with only Propofol in general anesthesia group;the 3 combined groups received general anesthesia with Propofol after being injected 0. 075% ,0. 15% ,0. 3% of Ropivacaine and 2ug/ml of Fentanyl respectively into the sacral canal for sacral block. Results There was no singnificant difference in the dosage of Propofol among the groups （ P 〉 0. 05 ） ; the anesthetic effect of combined group 2 and 3 was much superior to that of general anesthesia group （ P 〈 0. 05 ） and the occurrence of low abdominal pain was much lower（ P 〈 0. 05 ） ; there were less cases with nausea, vomiting , much saliva and skin itching in the 3 combined groups than in general anesthesia group （ P 〈 0. 05 ）. Conclusions 0. 15% of Ropivacain combined with Fentanyl for sacral block can improve the anesthetic effect in artificial abortion with Propofol, and it can help to decrease the dosage of Propofol, reduce the occurrence of low abdominal pain after abortion, and it produces do affect on the lower limb movement.
出处
《西南军医》
2007年第3期11-13,共3页
Journal of Military Surgeon in Southwest China
