期刊文献+

舒芬太尼联合罗哌卡因在二次剖宫产术中的应用 被引量:12

Application value of sufentanil combined with ropivacaine in the second cesarean section
下载PDF
导出
摘要 目的:观察舒芬太尼联合罗哌卡因用于二次剖宫产硬膜外麻醉的使用效果及对胎儿的影响。方法:选择产科二次剖宫产产妇40例,随机分为舒芬太尼+罗哌卡因组(S组)和罗哌卡因组(R组),各20例。S组硬膜外注入0.75%甲磺酸罗哌卡因10mL混合舒芬太尼10μg;R组硬膜外注入0.75%甲磺酸罗哌卡因10mL。比较2组产妇麻醉起效时间、镇痛持续时间、麻醉不良反应及新生儿出生后1min、5min Apgar评分,并采集新生儿出生即刻脐静脉、脐动脉血进行血气分析,比较新生儿出生后1、2、3、4、5min右桡动脉处脉搏血氧饱和度。结果:S组产妇麻醉起效时间明显短于R组,镇痛持续时间明显长于R组(P<0.01),麻醉效果优于R组(P<0.05)。2组产妇麻醉不良反应差异无统计学意义(P>0.05)。2组新生儿娩出后1min、5minApgar评分和1、2、3、4、5min右桡动脉处脉搏血氧饱和度差异均无统计学意义(P>0.05),2组新生儿出生即刻脐静脉、脐动脉血气分析指标差异亦均无统计学意义(P>0.05)。结论:产妇使用舒芬太尼复合罗哌卡因硬膜外麻醉下行二次剖宫产术,可增强麻醉效果,提高产妇麻醉质量,且对胎儿呼吸氧合无明显影响。 Objective:To observe the effects of sufentanil combined with ropivacaine on epidural anesthesia in the second cesarean section,and its influence on fetus. Methods:Forty puerperas with the second cesarean section were randomly divided into the sufentanil-ropivacaine group(group S) and ropivacaine group(group R)(20 cases each group).The mixture of 10 mL of 0.75% ropivacaine with 10 μg of sufentanil was injected into the epidural space in group S,and the 10 mL of 0.75% ropivacaine was injected into the epidural space in group R.The onset time of anesthesia,duration of analgesia,adverse reactions of anesthesia,and Apgar scores of neonates after 1 and 5 min of birth between two groups were compared.The blood gas analysis of umbilical vein and artery was performed at newborn birth,and the oxygen saturation(SpO 2) of right radial artery was compared among at 1,2,3,4 and 5 min after birth. Results:The onset time of anesthesia,duration of analgesia and anesthetic effect in group S were significantly shorter,longer and better than those in group R,respectively( P <0.01 or P <0.05).The difference of the adverse reaction of anaesthesia between two groups was not statistically significant( P >0.05).The differences of the Apgar scores of neonates after 1 and 5 min of birth,and SpO 2 of right radial artery at 1,2,3,4 and 5 min after birth between two groups were not statistically significant( P >0.05).The differences of the indexes of blood gas analysis in umbilical vein and artery between two groups were not statistically significant( P >0.05). Conclusions:The application of sufentanil combined with ropivacaine in epidural anesthesia of puerpera with the second cesarean section can enhance the effects of anesthesia,improve the quality of anesthesia,and has no obvious effect on fetal respiratory oxygenation.
作者 任三姐 汪萍 陈界石 骆宏 REN San-jie;WANG Ping;CHEN Jie-shi;LUO Hong(Department of Anesthesiology,Binhu Hospital of The First People′s Hospital of Hefei,Hefei Anhui 230000,China)
出处 《蚌埠医学院学报》 CAS 2019年第9期1244-1246,1250,共4页 Journal of Bengbu Medical College
关键词 剖宫产手术 硬膜外麻醉 舒芬太尼 罗哌卡因 cesarean section epidural anesthesia sufentanil ropivacaine
  • 相关文献

参考文献3

二级参考文献19

共引文献123

同被引文献113

引证文献12

二级引证文献57

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部