罗哌卡因与舒芬太尼腰—硬联合麻醉在剖宫产术中的效果

梁皓，亢红妮

（宝鸡市陈仓医院麻醉科，陕西 宝鸡，721300）

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摘要：

目的 观察舒芬太尼复合罗哌卡因在剖宫产术中的镇痛效果及其对产程、术中出血量与不良反应的影响。方法 选取我院收治的产妇200例作为研究对象，所有产妇均行剖宫产手术，将其随机分为研究组和对照组，每组100例。对照组产妇给予持续硬脊膜外腔麻醉，研究组患者给予腰—硬联合麻醉，观察两组产妇的麻醉效果，以及术中出血量、不良反应发生情况。结果 两组产妇的疼痛VAS评分比较，差异无统计学意义（P>0.05）；研究组产妇麻醉起效时间显著短于对照组，差异具有 统计学意义（P<0.05）；研究组产妇罗呱卡因总用量显著少于对照组，差异具有统计学意义（P<0.05）；两组产妇术中出血量及不良反应发生率比较，差异无统计学意义（P>0.05）。结论 在剖宫产手术中应用腰—硬联合麻醉具有起效快、镇痛效果好、用药量少、安全性高等优点，值得推广。

关键词：剖宫产；腰—硬麻醉；疼痛；安全性

中图分类号：R614文献标志码：A文章编号：2096-1413(2017)18-0049-02

Effect of ropivacaine and sufentanil combined spinal epidural anesthesia in cesarean section
LIANG Hao, KANG Hong-ni
(Department of Anesthesiology, Chencang Hospital of Baoji, Baoji 721300, China)

ABSTRACT: Objective To observe the analgesic effects of ropivacaine combined with sufentanil in cesarean section and its effect on labor time, intraoperative blood loss and adverse reactions. Methods A total of 200 maternal admitted in our hospital were selected. All the maternal received cesarean section, and they were randomly divided into study group and control group, with 100 cases in each group. The control group received persistent epidural anesthesia, and the study group accepted combined spinal epidural anesthesia. The anesthesia effects, intraoperative blood loss and adverse reactions of the two groups were compared. Results There was no significant difference on VAS score between two groups (P跃0.05). The maternal anesthesia onset time of the study group was shorter than that of the control group, the difference was statistically significant (P<0.05). The total amount of ropivacaine of the study group was less than that of the control group, the difference was statistically significant (P<0.05). There were no significant differences on intraoperative blood loss and adverse reactions between the two groups (P>0.05). Conclusion Combined spinal epidural anesthesia in cesarean section has the advantages of short onset time, good analgesic effect and high safety, which should be promoted in clinic.

KEYWORDS: cesarean section; combined spinal epidural anesthesia; pain; safety

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