摘要
目的:探讨罗哌卡因联合舒芬太尼在剖宫产麻醉的临床麻醉效果。方法:选取我院妇产科收治的60例行剖宫产术产妇分为单麻组(采用罗哌卡因麻醉)34例和复麻组(采用罗哌卡因联合舒芬太尼麻醉)26例;观察两组麻醉效果,麻醉前后的心率(HR)、平均动脉压(MAP)、血氧饱和度(SpO2)以及不良反应情况。结果:复麻组的麻醉有效率(92.31%)高于单麻组(70.59)(P<0.05);复麻组麻醉5min后HR、SpO2水平均高于单麻组(P<0.05),麻醉10min后HR水平高于单麻组(P<0.05);两组不良反应率差异无统计学意义(P>0.05)。结论:罗哌卡因联合舒芬太尼在剖宫产麻醉中的临床麻醉有效率较高,有利于血流动力学的稳定。
Objective: To investigate the clinical anesthesia effect of ropivacaine combined with sufentanil on cesarean section anesthesia. Methods: 60 puerperae undergoing cesarean section were divided into single anesthesia group(34 cases, ropivacaine anesthesia) and compound anesthesia group(26 cases, ropivacaine combined with sufentanil anaesthesia). The incidence of incomplete analgesia, incomplete muscle relaxant and involvement reactions after anaesthesia, heart rate(HR), mean arterial pressure(MAP), blood oxygen saturation(SpO2) before anaesthesia and after anaesthesia, and adverse reactions after anesthesia in both groups were observed. Results: The anesthesia response rate in compound anesthesia group was higher than that in single anesthesia group(92.31% vs 70.59%)(P<0.05). HR and SpO2 levels in compound anesthesia group were higher than those in single anesthesia group at 5 min after anaesthesia(P<0.05), and HR level was higher than that in single anesthesia group at 10 min after anaesthesia(P<0.05). There was no significant difference between the two groups(P>0.05). Conclusion: The clinical anesthesia response rate of ropivacaine combined with sufentanil is relatively higher in cesarean section anesthesia, which is conducive to hemodynamic stability.
作者
李明
雷小华
罗志勇
黄国振
黄勇飞
LI Ming;LEI Xiao-hua;LUO Zhi-yong;HUANG Guo-zhen;HUANG Yong-fei(Fuzhou First People’s Hospital,Fuzhou Jiangxi 344000,China)
出处
《药品评价》
CAS
2019年第18期81-82,共2页
Drug Evaluation
关键词
剖宫产
罗哌卡因
舒芬太尼
Cesarean Section
Ropivacaine
Sufentanil