首页|剖宫产行小剂量罗哌卡因复合舒芬太尼蛛网膜下腔麻醉的临床效果

剖宫产行小剂量罗哌卡因复合舒芬太尼蛛网膜下腔麻醉的临床效果

扫码查看
目的:分析剖宫产行小剂量罗哌卡因复合舒芬太尼蛛网膜下腔麻醉的临床效果.方法:选择湖北省黄冈市妇幼保健院 2021 年 8 月~2022 年 7 月剖宫产产妇共 120 例,按数字表随机分两组,每组 60 例,对照组的产妇给予单纯罗哌卡因蛛网膜下腔麻醉,观察组行小剂量罗哌卡因复合舒芬太尼蛛网膜下腔麻醉.比较两组起效、持续、恢复时间、两组Bromage评分、感觉阻滞最高平面和新生儿Apgar评分/治疗前后产妇平均动脉压、麻醉优良率、不良反应.结果:与对照组比较,观察组麻醉剂起效时间、麻醉剂持续时间均明显降低,痛觉恢复时间明显延长,差异有统计学意义(P<0.05).与对照组比较,观察组Bromage评分明显降低,感觉阻滞最高平面明显升高,差异有统计学意义(P<0.05).两组新生儿Apgar评分之间比较,差异无统计学意义(P>0.05).麻醉前二组产妇平均动脉压比较,差异无统计学意义(P>0.05),麻醉后5 min观察组平均动脉压波动显著低于对照组,差异有统计学意义(P<0.05).观察组麻醉优良率高于对照组,差异有统计学意义(P<0.05).观察组不良反应少于对照组,差异有统计学意义(P<0.05).结论:剖宫产行小剂量罗哌卡因复合舒芬太尼蛛网膜下腔麻醉的临床效果确切,可维持术中动脉压稳定,减少不良反应,且麻醉起效快,持续时间更长,恢复更快,对新生儿无不良影响.
Clinical effect of subarachnoid anesthesia with low-dose ropivacaine combined with sufentanil in cesarean section
Objective To analyze the clinical effect of low-dose ropivacaine combined with sufentanil subarachnoid anesthesia in ce-sarean section.Method A total of 120 parturients who underwent cesarean section in our hospital from August 2021 to July 2022 were selected and randomly divided into two groups,60 cases in each group.The control group was given simple ropivacaine subarachnoid anesthesia,while the observation group was given low-dose ropivacaine combined with sufentanil subarachnoid anesthesia.The onset,duration,recovery time,Bromage score,the highest level of sensory block and Apgar score of newborn/average maternal arterial pres-sure before and after treatment,excellent and good rate of anesthesia and adverse reactions were compared between the two groups.Re-sults Compared with the control group,the onset time and duration of anesthetic in the observation group were significantly reduced,and the pain recovery time was significantly prolonged(P<0.05).Compared with the control group,the Bromage score of the observa-tion group decreased significantly,and the highest level of sensory block increased significantly(P<0.05).There was no significant difference in Apgar score between the two groups(P>0.05).Before anesthesia,the average arterial pressure of the two groups was compared(P>0.05),and the fluctuation of the average arterial pressure in the observation group was significantly lower than that in the control group 5 minutes after anesthesia(P<0.05).The excellent and good rate of anesthesia in observation group was higher than that in control group(P<0.05).Adverse reactions in observation group were less than those in control group(P<0.05).Conclusion The clinical effect of low-dose ropivacaine combined with sufentanil subarachnoid anesthesia in cesarean section is definite,which can main-tain the stability of arterial pressure during operation and reduce adverse reactions,and the anesthesia takes effect quickly,lasts lon-ger,recovers faster,and has no adverse effects on newborns.

Cesarean sectionLow dose ropivacaineSufentanilSubarachnoid anesthesiaClinical effect

朱连松、肖波涛

展开 >

黄冈市妇幼保健院 麻醉科,湖北 黄冈 438000

黄冈市妇幼保健院 影像科,湖北 黄冈 438000

剖宫产 小剂量罗哌卡因 舒芬太尼 蛛网膜下腔麻醉 临床效果

黄冈市科技局2020年科研课题

XQYF2020000034

2024

吉林医学
吉林省人民医院

吉林医学

影响因子:0.926
ISSN:1004-0412
年,卷(期):2024.45(2)
  • 13