摘要
【摘要】 目的：研究剖宫产麻醉中联合应用罗哌卡因与舒芬太尼的临床效果。方法：根据随机数字表方法将 2016年 1月 -2017年 2月收取的 74例剖宫产麻醉产妇分组。对照组采用单纯罗哌卡因进行剖宫产麻醉，联合麻醉组采用罗哌卡因与舒芬太尼进行剖宫产麻醉。就两组产妇麻醉起效时间、维持镇痛时间、新生儿出生阿氏评分、剖宫产手术时间和麻醉效果、心动过缓、低血压等并发症发生率进行比较，并比较剖宫产手术开始时两组的收缩压、舒张压及心率。结果：联合麻醉组麻醉效果明显优于对照组，差异有统计学意义（ P<0.05）。联合麻醉组心动过缓、低血压等并发症发生率明显低于对照组，差异有统计学意义（ P<0.05）。联合麻醉组产妇麻醉起效时间短于对照组，维持镇痛时间长于对照组，差异均有统计学意义（ P<0.05）。两组新生儿出生 Apgar评分、剖宫产手术时间比较差异无统计学意义（ P>0.05）。联合麻醉组剖宫产手术开始时两组收缩压、舒张压及心率均显著低于对照组，差异均有统计学意义（ P<0.05）。结论：剖宫产麻醉中应用联合应用罗哌卡因与舒芬太尼的临床效果确切，联合用药起效快且镇痛持续时间长，术后恢复快，可维持血压心率稳定，减少生命体征波动，减少并发症发生，且对新生儿无不良影响，值得推广。 【关键词】 剖宫产麻醉； 联合应用； 罗哌卡因； 舒芬太尼； 临床效果 Objective: To study the clinical effect of ropivacaine combined with sufentanil in cesarean section anesthesia. Methods: According to the random number table method, 74 cases of cesarean section anesthesia puerpera were divided into groups from January 2016 to February 2017. The control group was anesthetized with ropivacaine only, and the combined anesthesia group was anesthetized with ropivacaine and sufentanil. The onset time of anesthesia, maintenance time of analgesia, newborn birth Albert's score, cesarean section time, anesthesia effect, bradycardia, hypotension and other complications were compared between the two groups. Systolic blood pressure, diastolic blood pressure and heart rate at the beginning of cesarean section were compared between the two groups. Result: The anesthetic effect of combined anesthesia group was better than that of control group (P < 0.05). The incidence of bradycardia, hypotension and other complications in the combined anesthesia group was significantly lower than that in the control group (P < 0.05). The onset time of anesthesia in the combined anesthesia group was shorter than that in the control group, and the duration of maintaining analgesia was longer than that in the control group (P < 0.05). There was no significant difference in Apgar score at birth and the time of cesarean section between the two groups (P > 0.05). The systolic blood pressure, diastolic blood pressure and heart rate of the combined anesthesia group were significantly lower than those of the control group at the beginning of cesarean section (P < 0.05). Conclusion: The clinical effect of ropivacaine combined with sufentanil in cesarean section anesthesia is definite. The combined use of ropivacaine and sufentanil has a quick onset and a long analgesic duration. It can maintain the stability of blood pressure and heart rate, reduce the fluctuation of vital signs, reduce complications, and has no adverse effects on newborns. It is worth promoting.
出版日期
2019年06月16日（中国Betway体育网页登陆平台首次上网日期，不代表论文的发表时间）
