摘要
目的探讨罗哌卡因复合舒芬太尼腰-硬联合麻醉对剖宫产产妇血流动力学及麻醉质量的影响。方法选取2017年1月至2019年4月本院收治的310例剖宫产产妇作为研究对象,按照随机数表法分为对照组(n=155,接受罗哌卡因麻醉)与观察组(n=155,实施罗哌卡因复合舒芬太尼麻醉)。对比两组产妇血流动力学及麻醉质量。结果 T1时,两组产妇SBP、DBP、MAP、SpO2比较差异无统计学意义;T2时,观察组SBP、DBP、MAP高于对照组,T3、T4时,观察组SBP、DBP、MAP低于对照组,差异具有统计学意义(P<0.05);观察组疼痛程度、牵拉反应均轻于对照组,差异具有统计学意义(P<0.05)。结论剖宫产产妇术中应用罗哌卡因复合舒芬太尼腰硬联合麻醉,能够显著提高麻醉效果,减少产妇术中牵拉反应,降低疼痛程度,利于手术顺利进行。
Objective To investigate the effect of ropivacaine combined with sufentanil combined with spinal-epidural anesthesia on hemodynamics and anesthesia quality in cesarean section. Methods 310 parturients undergoing cesarean section in our hospital from January 2017 to April2019 were randomly divided into control group(n=155, anesthetized with ropivacaine) and observation group(n=155, anesthetized with ropivacaine combined with sufentanil). The hemodynamics and anesthetic quality of parturients were compared between the two groups. Results There was no significant difference in SBP, DBP, MAP, SpO2 at T1 between the two groups. The SBP, DBP, MAP of the observation group was higher than that of the control group at T2, and the SBP, DBP, MAP of observation group were lower than that of the control group at T3 and T4(P<0.05), and the pain degree and traction reaction of the observation group were lighter than those of the control group(P<0.05). Conclusion The application of ropivacaine combined with sufentanil combined with spinal and epidural anesthesia in cesarean section can significantly improve the anesthetic effect, reduce the traction reaction during cesarean section, reduce the degree of pain, and facilitate the smooth operation.
作者
王敏
Wang Min(Department of Anesthesiology,Fengcheng Traditional Chinese Medicine Hospital,Yichun,Jiangxi,331100,China)
出处
《当代医学》
2020年第23期50-52,共3页
Contemporary Medicine
关键词
剖宫产
罗哌卡因
舒芬太尼
血流动力学
麻醉质量
Cesarean section
Ropivacaine
Sufentanil
Hemodynamics
Anaesthesia quality
