CAJ | 학술논문

目的观察舒芬太尼复合罗哌卡因腰麻在妇科手术应用中,舒芬太尼对罗哌卡因麻醉效果的影响.方法选择行妇科手术患者80例随机分为C组和S组,每组40例.实施腰麻,两组的腰麻用药分别为:C组0.5％罗哌卡因3ml;S组0.5％罗哌卡因3 ml+舒芬太尼2.5 ug/ml.观察并记录腰麻后痛觉减退平面、痛觉消失平面、感觉阻滞起效时间、阻滞平面达到T10的时间、镇痛向头端延伸时间、运动阻滞起效时间、最大运动阻滞时间、运动神经阻滞程度的Bromage评分,术中追加药物的例数以及不良反应.结果 S组的感觉阻滞起效时间、阻滞平面达T10的时间、运动阻滞起效时间、最大运动阻滞时间以及向头端延伸时间比C组短,S组的痛觉减退以及痛觉消失平面比C组高,术中硬膜外腔追加局麻药或辅助静脉用药S组均比C组少,S组的不良反应较少.结论舒芬太尼复合罗哌卡因腰麻应用于妇科中,舒芬太尼加快罗哌卡因的起效时间,提高罗哌卡因的镇痛和麻醉效能,为病人提供满意的麻醉效果,且不良反应发生率低.
목적 관찰서분태니복합라고잡인요마재부과수술응용중,서분태니대라고잡인마취효과적영향.방법 선택행부과수술환자80례수궤분위C조화S조,매조40례.실시요마,량조적요마용약분별위:C조0.5％라고잡인3ml;S조0.5％라고잡인3 ml+서분태니2.5 ug/ml.관찰병기록요마후통각감퇴평면、통각소실평면、감각조체기효시간、조체평면체도T10적시간、진통향두단연신시간、운동조체기효시간、최대운동조체시간、운동신경조체정도적Bromage평분,술중추가약물적례수이급불량반응.결과 S조적감각조체기효시간、조체평면체T10적시간、운동조체기효시간、최대운동조체시간이급향두단연신시간비C조단,S조적통각감퇴이급통각소실평면비C조고,술중경막외강추가국마약혹보조정맥용약S조균비C조소,S조적불량반응교소.결론 서분태니복합라고잡인요마응용우부과중,서분태니가쾌라고잡인적기효시간,제고라고잡인적진통화마취효능,위병인제공만의적마취효과,차불량반응발생솔저.
Objective To observe lumbar anesthesia with sufentanil plus ropivacaine in gynecological surgery and the impact of sufentanil on ropivacaine.Methods 80 patients undergoing gynecological surgery were randomly assigned to receive 0.5％ ropivacaine of 3ml alone ( group C,n =40 ) or 0.5％ ropivacaine of 3ml plus sufentanil of 2.Sug/ml ( group S,n =40 ).The hypalgesic level,analgesic level,time of onset of sensory block,time to blockade level at T10,time to extension of analgesis to cerebral side,time of onse of motor block,maximum time to motor block,Bromage scores on motor block,cases of intraoperative increases in dosage for anaesthesia,and adverse reactions were observed and recorded.Results Time of onset of sensory block,time to blockade level at T10,time to extension of analgesis to cerebral side,and time of onse of motor block were shorter in group S than in group C.The hypalgesic level and analgesic level were higher in group S than in group C.Fewer patients needed epidural increases in analgesics or addtional intravenous analgesics in group S than in group C.Fewer adverse reactions were found in group S.Conclusions In lumbar anesthesia with sufentanil plus ropivacaine for gynecological surgery,sufentanil increases time of onset of ropivacaine,enhances analgesic and anesthetic effects of ropivacaine,and has a lower rate of adverse reactions.