摘要
目的观察罗哌卡因与舒芬太尼复合麻醉方式应用于剖宫产手术产妇的效果与安全性。方法剖宫产产妇60例来源于2021年1月-2022年12月我院妇产科,随机分为n=30的两组,对照组行罗哌卡因麻醉,观察组同时复合舒芬太尼。比较两组麻醉前(T0)、麻醉后10min(T1)、胎儿娩出后3min(T2)、术毕(T3)血流动力学指标,记录麻醉相关指标,评估麻醉效果,随访不良反应。结果T0时段两组平均动脉压、心率、SpO_(2)差异不明显,T1、T2、T3时段观察组平均动脉压、SpO_(2)高于对照组,心率低于对照组,差异显著,P<0.05;统计学软件处理两组麻醉起效、手术时间差异观察组更短,镇痛维持时间比较观察组长于对照组,P<0.05;观察组麻醉3级例数多于对照组,组间比较差异显著,P<0.05;不良反应总例数比较观察组(n=4)少于对照组(n=12),差异显著(P<0.05)。结论罗哌卡因复合舒芬太尼应用于剖宫产术,见效快、镇痛持久,有利于维持围术期血流动力学稳定,且安全性高,值得临床推广。
Objective Observing the effect and safety of ropivacaine and sufentanil combined anesthesia in cesarean section women.Method Sixty cesarean section parturients were randomly divided into two groups with n=30,from January 2021 to December 2022 in the obstetrics and gynecology department of our hospital.The control group received ropivacaine anesthesia,while the observation group combined with sufentanil simultaneously.Compare the hemodynamic indicators before anesthesia(T0),10 minutes after anesthesia(T1),3 minutes after fetal delivery(T2),and postoperative(T3)between two groups,record anesthesia related indicators,evaluate anesthesia effectiveness,and follow up on adverse reactions.Result There was no significant difference in average arterial pressure,heart rate,and SpO_(2)between the two groups during T0 period.During T1,T2,and T3 periods,the observation group had higher average arterial pressure and SpO_(2)than the control group,while the heart rate was lower than the control group,with significant differences(P<0.05);Statistical software was used to analyze the differences in anesthesia onset and surgical time between the two groups.The observation group had a shorter duration of pain relief,and the observation group had a longer duration of pain relief compared to the control group,with P<0.05;The number of anesthesia grade 3 cases in the observation group was higher than that in the control group,and there was a significant difference between the groups(P<0.05);The total number of adverse reactions in the observation group(n=4)was lower than that in the control group(n=12),with a significant difference(P<0.05).Conclusion Application of ropivacaine combined with sufentanil in cesarean section is effective,long-lasting,beneficial for maintaining perioperative hemodynamic stability,and has high safety.It is worthy of clinical promotion.
作者
庞波波
刘秀杰
PANG Bo-bo;LIU Xiu-jie(Department of Anesthesiology,Luoyang Maternal and Child Health Hospital,Luoyang 471000,Henan Province,China;Department of Anesthesiology,Luoyang Yanshi People's Hospital,Luoyang 471000,Henan Province,China)
出处
《罕少疾病杂志》
2024年第3期85-86,105,共3页
Journal of Rare and Uncommon Diseases
