首页|低剂量麻药在剖宫产术患者蛛网膜下腔注射的药效分析

低剂量麻药在剖宫产术患者蛛网膜下腔注射的药效分析

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目的:探讨剖宫产应用低剂量麻药进行蛛网膜下腔注射的临床效果,以供参考。方法:将2011年7月至2013年8月在我院接受剖宫产的产妇120例纳入本研究,随机分组,均接受连续腰麻,实验组蛛网膜下腔注射布比卡因7.5m g+芬太尼20μ,对照组蛛网膜下腔注射布比卡因10.0m g+芬太尼20μ。对比两组产妇术后各时间点VAS评分、麻醉效果的差异性。结果:与对照组对比,我们发现实验组产妇术中、术后6h、24h各时间点VAS评分明显较低,组间差异经统计学分析后认为有意义(p<0.05)。在感觉、运动阻滞起效时间上,两组的麻醉效果较为接近(P>0.05),但感觉恢复时间上实验组更短(P<0.05)。结论:剖宫产应用低剂量麻药进行蛛网膜下腔注射有助于减轻产妇术中不适和术后疼痛,麻醉效果良好,今后可将其推广应用。
Low dose of local anesthetic in patients with subarachnoid injection cesarean efficacy analysis
Objective : To investigate the application of low-dose anesthetic caesarean section performed intrathecal clinical results for reference . Methods: July 2011 to August 2013 in our hospital cesarean section 120 cases included in the study were randomly assigned to receive continuous spinal anesthesia were experimental group intrathecal bupivacaine 7.5mg +Fen fentanyl 20μ, the control group intrathecal bupivacaine 10.0mg + fentanyl 20μ. Compared two groups of maternal postoperative VAS scores at each time point , the anesthetic effect of differences. Results: The comparison with the control group , we found that the experimental groups were postoperative 6h, 24h each time point VAS score was significantly lower , the difference between groups was significant after statistical analysis (p <0.05). In the sense that the motor block onset time, the two groups closer anesthetic effect (P> 0.05), but it feels much shorter recovery time in the experimental group (P <0.05). Conclusion: Cesarean section performed low-dose intrathecal injection of local anesthetic helps to reduce maternal discomfort and pain after surgery , the anesthetic effect is good, in the future it can be widely applied.

Cesarean sectionlow-dose anestheticsubarachnoid injection

杨军

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四川省成都市新都区人民医院麻醉科 610500

剖宫产 低剂量麻药 蛛网膜下腔注射

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(3)
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