摘要
目的分析剖宫产患者通过小剂量罗哌卡因复合舒芬太尼进行蛛网膜下腔麻醉对患者的临床麻醉效果。方法选择该院2019年1-12月收治的剖宫产患者80例,以随机数表法分成对照组(n=40)和观察组(n=40),对照组通过小剂量的罗哌卡因蛛网膜下腔麻醉,观察组在此基础上,通过复合舒芬太尼进行麻醉,比较两组患者的麻醉效果(麻醉起效时间、麻醉持续时间、痛觉恢复时间、疼痛评分)及不良反应发生率。结果观察组患者的麻醉起效时间、麻醉持续时间、痛觉恢复时间、疼痛评分分别为(2.13±0.89)min、(310.62±1.97)min、(50.46±2.16)min、(3.10±1.12)分,均优于对照组,差异有统计学意义(t=12.901、21.507、17.964、19.231,P<0.05)。观察组患者不良反应发生概率为5.0%(2/40),对照组患者的不良反应发生概率为25.0%(10/40),差异有统计学意义(χ^(2)=6.275,P<0.05)。结论剖宫产患者通过小剂量的罗哌卡因和舒芬太尼蛛网膜下腔复合麻醉,可以得到显著的麻醉效果,不良反应发生概率较低,具有较高的安全性。
Objective To analyze the clinical anesthesia effect of low-dose ropivacaine combined with sufentanil for subarachnoid anesthesia in cesarean section patients.Methods The 80 cesarean section patients admitted to this hospital from January to December 2019 were selected and divided into a control group(n=40)and an observation group(n=40)according to a random number table.The control group received low-dose ropika due to subarachnoid anesthesia,the observation group was anesthetized with sufentanil on this basis.Compared the anesthesia effect(anesthesia onset time,anesthesia duration,pain recovery time,pain score)and the incidence of adverse reactions between the two groups of patients.Results The anesthesia onset time,anesthesia duration,pain recovery time,and pain score of the observation group were(2.13±0.89)min,(310.62±1.97)min,(50.46±2.16)min,and(3.10±1.12)points,respectively.It was better than the control group,and the difference was statistically significant(t=12.901,21.507,17.964,19.231,P<0.05).The incidence of adverse reactions in the observation group was 5.0%(2/40),and the incidence of adverse reactions in the control group was 25.0%(10/40),the difference was statistically significant(χ^(2)=6.275,P<0.05).Conclusion In cesarean section patients,a small dose of ropivacaine and sufentanil combined with subarachnoid anesthesia can obtain a significant anesthetic effect,with a low probability of adverse reactions,and high safety.
作者
杨安波
YANG Anbo(Department of Anesthesiology,Beibei District Hospital of Traditional Chinese Medicine,Chongqing,400700 China)
出处
《系统医学》
2021年第19期64-66,共3页
Systems Medicine
关键词
剖宫产
罗哌卡因
舒芬太尼
蛛网膜下腔麻醉
临床效果
Cesarean section
Ropivacaine
Sufentanil
Subarachnoid anesthesia
Clinical effect
