中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
2期
297-299
,共3页
罗哌卡因%舒芬太尼%麻醉%剖宫产
囉哌卡因%舒芬太尼%痳醉%剖宮產
라고잡인%서분태니%마취%부궁산
ropivacaine%sufentanil%anesthesia%cesarean section
目的：探讨罗哌卡因复合舒芬太尼蛛网膜下腔麻醉在剖宫产手术的应用效果。方法将110例拟行剖宫产手术产妇采用数字表法随机分为两组，每组各55例，对照组采用罗哌卡因蛛网膜下腔麻醉，观察组采取罗哌卡因复合舒芬太尼蛛网膜下腔麻醉，观察两组麻醉起效时间、镇痛维持时间、术后视觉模拟评分法（VAS）及新生儿1min、5min Apgar评分，比较两组不良反应发生情况。结果观察组麻醉起效时间为（56．54±4．51）s，少于对照组的（83．36±4．85）s，t＝6．53，P＜0．05；镇痛维持时间和术后VAS评分为（5．21±0．42）h和（1．38±0．20）min，高于对照组的（3．45±0．31）h和（3．35±0．42）min，两组比较差异均具有统计学意义（t值分别为5．21和8．20，均P＜0．05）；两组新生儿1min、5min Apgar评分及不良反应发生率比较均无显著性差异（t值分别为1．62和1．35，χ2＝1．09，均P＞0．05）。结论罗哌卡因复合舒芬太尼蛛网膜下腔麻醉用于剖宫产手术具有较好的镇痛效果，且镇痛起效快、维持时间长、不良反应少，具有较好的临床应用价值。
目的：探討囉哌卡因複閤舒芬太尼蛛網膜下腔痳醉在剖宮產手術的應用效果。方法將110例擬行剖宮產手術產婦採用數字錶法隨機分為兩組，每組各55例，對照組採用囉哌卡因蛛網膜下腔痳醉，觀察組採取囉哌卡因複閤舒芬太尼蛛網膜下腔痳醉，觀察兩組痳醉起效時間、鎮痛維持時間、術後視覺模擬評分法（VAS）及新生兒1min、5min Apgar評分，比較兩組不良反應髮生情況。結果觀察組痳醉起效時間為（56．54±4．51）s，少于對照組的（83．36±4．85）s，t＝6．53，P＜0．05；鎮痛維持時間和術後VAS評分為（5．21±0．42）h和（1．38±0．20）min，高于對照組的（3．45±0．31）h和（3．35±0．42）min，兩組比較差異均具有統計學意義（t值分彆為5．21和8．20，均P＜0．05）；兩組新生兒1min、5min Apgar評分及不良反應髮生率比較均無顯著性差異（t值分彆為1．62和1．35，χ2＝1．09，均P＞0．05）。結論囉哌卡因複閤舒芬太尼蛛網膜下腔痳醉用于剖宮產手術具有較好的鎮痛效果，且鎮痛起效快、維持時間長、不良反應少，具有較好的臨床應用價值。
목적：탐토라고잡인복합서분태니주망막하강마취재부궁산수술적응용효과。방법장110례의행부궁산수술산부채용수자표법수궤분위량조，매조각55례，대조조채용라고잡인주망막하강마취，관찰조채취라고잡인복합서분태니주망막하강마취，관찰량조마취기효시간、진통유지시간、술후시각모의평분법（VAS）급신생인1min、5min Apgar평분，비교량조불량반응발생정황。결과관찰조마취기효시간위（56．54±4．51）s，소우대조조적（83．36±4．85）s，t＝6．53，P＜0．05；진통유지시간화술후VAS평분위（5．21±0．42）h화（1．38±0．20）min，고우대조조적（3．45±0．31）h화（3．35±0．42）min，량조비교차이균구유통계학의의（t치분별위5．21화8．20，균P＜0．05）；량조신생인1min、5min Apgar평분급불량반응발생솔비교균무현저성차이（t치분별위1．62화1．35，χ2＝1．09，균P＞0．05）。결론라고잡인복합서분태니주망막하강마취용우부궁산수술구유교호적진통효과，차진통기효쾌、유지시간장、불량반응소，구유교호적림상응용개치。
Objective To investigate the effect of subarachnoid anesthesia with ropivacaine and sufentanil in cesarean surgery .Methods Totally 110 cases of women who would undergo cesarean were divided into two groups by using random number table with 55 cases in each group.The control group was given ropivacaine spinal anesthesia , while the observation group was given ropivacaine and sufentanil in subarachnoid anesthesia .Onset time of anesthesia, analgesia duration, postoperative VAS score and neonatal 1min, 5 min Apgar score were observed and the adverse events of two groups were compared .Results The onset time of anesthesia of the observation group was 56.54 ±4.51 s, which was significantly less than the control group (83.36 ±4.85s) (t=6.53,P<0.05).Its analgesia duration and postoperative VAS score was 5.21 ±0.42 h and 1.38 ±0.20 min, respectively, which were significantly higher than the control group (3.45 ±0.31 h and 3.35 ±0.42 min).The differences were statistically significant (t value was 5.21 and 8.20, respectively, both P<0.05).The two groups were not significantly different in neonatal 1min, 5 min Apgar score and the incidence of adverse reactions (t value was 1.62 and 1.35, respectively,χ2 =1.09,P>0.05).Conclusion Ropivacaine combined with sufentanil in subarachnoid anesthesia has better analgesic effect and rapid onset of analgesia .The analgesia duration is long , and the adverse reactions are few with better clinical value.
