摘要
目的 分析舒芬太尼腰硬联合阻滞麻醉在剖宫产术麻醉效果及不良反应。方法 选择2019年7月-2020年7月本院收治72例剖宫产术患者临床资料,按随机数表分为两组,两组均给予腰硬联合阻滞麻醉,对照组36例采用芬太尼麻醉,研究组36例使用舒芬太尼麻醉。比较两组麻醉效果及不良反应。结果 研究组患者麻醉起效(4.21±1.34)min、运动阻滞恢复(151.51±21.62)min、感觉阻滞恢复(131.67±19.42)min,均比对照组短(P<0.05);研究组术后12h、24h、48h的Ramsay镇静评分与VAS评分均比对照组低(P<0.05);对两组不良反应发生率进行比较,差异无统计学意义(P>0.05)。结论 剖宫产术患者使用舒芬太尼腰硬联合阻滞麻醉,其不良反应少,安全性高,麻醉镇痛效果显著,临床上值得推广使用。
Objective To analyze the anesthesia effect and adverse reactions of sufentanil combined spinal-epidural anesthesia in cesarean section.Methods The clinical data of 72 patients undergoing cesarean section in our hospital from July 2019 to July 2020 were selected and divided into two groups according to the random number table.Both groups were given combined spinalepidural anesthesia,and 36 patients in the control group were treated with combined spinal-epidural anesthesia Fentanyl anesthesia,36 patients in the study group were anesthetized with sufentanil.Compare the anesthesia effects and adverse reactions between the two groups.Results In the study group,the onset of anesthesia(4.21±1.34)min,the recovery of motor block(151.51±21.62)min,and the recovery of sensory block(131.67±19.42)min were shorter than those in the control group(P<0.05);The Ramsay sedation scores and VAS scores at 12h,24h,and 48h after surgery were lower than those of the control group(P<0.05);the incidence of adverse reactions between the two groups was compared,and the difference was not statistically significant(P>0.05).Conclusion Sufentanil combined with spinalepidural block anesthesia for patients undergoing cesarean sect ion has less side effects,high safety,and significant analgesic effects.It is worth popularizing clinica lly.
作者
冯巨贵
易保连
FENG Jugui;YI Baolian(Department of Anesthesiology,People's Hospital of Leizhou City,Guangdong Province,Leizhou,Guangdong 524200)
出处
《智慧健康》
2023年第15期145-148,共4页
Smart Healthcare
关键词
舒芬太尼
腰硬联合阻滞麻醉
剖宫产术
麻醉效果
不良反应
Sufentanil
Combined spinal-epidural anesthesia
Cesarean section
Anesthetic effect
Adverse reactions
