摘要
目的分析剖宫产术应用罗哌卡因复合舒芬太尼腰硬联合麻醉的可行性。方法将2016年1月—2017年1月80例剖宫产术产妇作研究对象并随机分组。单一组用罗哌卡因进行腰硬联合麻醉,联合组应用罗哌卡因复合舒芬太尼腰硬联合麻醉。比较两组镇痛效果;起效时间、运动恢复时间、新生儿出生Apgar评分、手术时间;产妇肌松效果。结果联合组镇痛效果高于单一组,P<0.05;联合组起效时间、运动恢复时间短于单一组,P<0.05;两组新生儿出生Apgar评分、手术时间相近,P>0.05;联合组肌松效果优于单一组,P<0.05。结论剖宫产术应用罗哌卡因复合舒芬太尼腰硬联合麻醉的可行性高,可提高镇痛效果和肌松效果,起效快且麻醉恢复快,对手术和新生儿无不良影响。
Objective To analyze the feasibility of combined spinal epidural anesthesia with ropivacaine and sufentanil in cesarean section. Methods 80 parturients with caesarean section from January 2016 to January 2017 were randomly divided into two groups. A single group was treated with ropivacaine combined with epidural anesthesia, and the combined group was treated with ropivacaine combined with sufentanil and combined spinal epidural anesthesia. The analgesic effects of two groups were compared： the onset time, the time of recovery, the Apgar score, the operation time, and the effect of muscle relaxation. Results The analgesic effect of combined group was higher than that of single group, P〈0.05; combined group onset time, motor recovery time is shorter than the single group, P〈0.05; two groups of neonatal Apgar score, operation time is similar to that of P〉0.05; combined effect of muscle relaxation is better than a single group, P〈0,05. Conclusion The application of ropivacaine combined with sufentanil and lumbar epidural anesthesia in cesarean section is feasible, which can improve the analgesic effect and muscle relaxation effect. The effect is quick, the anesthesia recovery is quick, and there is no adverse effect on the operation and the newborn.
出处
《中国继续医学教育》
2017年第12期81-83,共3页
China Continuing Medical Education
