摘要
目的比较小剂量盐酸罗哌卡因复合舒芬太尼和单纯盐酸罗哌卡因在腰硬联合麻醉下子宫全切除术中的临床应用效果。方法选取2018年1月至2018年12月本院收治的ASAⅠ~Ⅱ级行子宫全切术子宫肌瘤患者40例,随机分为两组,各20例。选择L2~3或L3~4间隙蛛网膜下腔穿刺成功后,分别注入0.75%罗哌卡因15 mg+舒芬太尼5μg(观察组)和0.75%罗哌卡因20 mg(对照组)。观察两组患者腰麻后寒战、牵拉反应等不良反应的发生情况。结果观察组患者寒战、牵拉反应明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论0.75%罗哌卡因15 mg+舒芬太尼5μg腰麻用于妇科子宫切除术预防寒战和牵拉反映的麻醉效果确切,且不良反应少,能提高子宫全切术患者的安全性和舒适性。
Objective To compare the clinical application effect of low-dose ropivacaine combined with sufentanil and ropivacaine alone in gynecological uterus total hysterectomy under CSEA anesthesia.Methods A total of 40 patients with grade ASAⅠ-Ⅱwho underwent elective hysteromyoma underwent hysterectomy in our hospital from January 2018 to December 2018 were randomly divided into two groups,each with 20 cases.After successful subarachnoid space in L2-3 or L3-4 Spaces,0.75%ropivacaine 15 mg+ sufentanil 5μg(the observation group)and 0.75%ropivacaine 20 mg(the control group)were respectively injected.The adverse reactions during the operation of the administration of lumbar anesthesia in the two groups were observed and recorded.Results The observation group of patients with trembling and traction response significantly lower than the control group,the difference was statistically significant between the two groups(P<0.05).Conclusion 0.75%ropivacaine 15 mg+sufentanil 5μg lumbar anesthesia in gynecological uterus total hysterectomy for the prevention of trembling and traction response with few adverse reaction,the exact effect can improve the safety and comfort of patients undergoing uterus total hysterectomy.
作者
喇海英
温建忠
La Haiying;Wen Jianzhong(Department of Anesthesiology,Maternal and Child Health Care Center,Beijing,101500,China;Department of Anesthesiology,Eye Hospital of Beijing,Beijing,100730,China)
出处
《当代医学》
2020年第4期17-20,共4页
Contemporary Medicine
