临床医学工程
臨床醫學工程
림상의학공정
CLINICAL MEDICAL ENGINEERING
2014年
6期
717-718
,共2页
向军%邓红妹%杨新妹%陈勇惠
嚮軍%鄧紅妹%楊新妹%陳勇惠
향군%산홍매%양신매%진용혜
小剂量罗呱卡因%舒芬太尼%蛛网膜下腔麻醉%剖宫产%临床效果
小劑量囉呱卡因%舒芬太尼%蛛網膜下腔痳醉%剖宮產%臨床效果
소제량라고잡인%서분태니%주망막하강마취%부궁산%림상효과
Small doses of ropivacaine%Sufentanil%Spinal anesthesia%Cesarean section%Clinical effects
目的：探讨小剂量罗呱卡因复合舒芬太尼蛛网膜下腔麻醉用于剖宫产的临床效果。方法通过对2012年2月至2013年10月在我院进行剖宫产的90例产妇，随机分为对照组和实验组，每组均为45例产妇。对照组产妇仅给予小剂量罗呱卡因进行麻醉，实验组产妇给予小剂量罗呱卡因复合舒芬太尼进行麻醉。观察比较两组产妇的麻醉效果，产妇麻醉效果的满意度及不良反应发生情况。结果实验组产妇麻醉剂起效时间较对照组产妇明显降低，具有显著差异(P<0.05)；实验组产妇的总满意度较对照组患者明显提高，具有显著性差异(P<0.05)；实验组患者的不良反应发生率较对照组患者明显降低，具有显著性差异(P<0.05)。结论针对剖宫产产妇采用小剂量罗呱卡因复合舒芬太尼，具有显著的麻醉效果，提高患者的满意度，降低不良反应的发生率。小剂量罗呱卡因复合舒芬太尼对蛛网膜下腔麻醉剖宫产具有十分重要的临床意义，值得推广应用。
目的：探討小劑量囉呱卡因複閤舒芬太尼蛛網膜下腔痳醉用于剖宮產的臨床效果。方法通過對2012年2月至2013年10月在我院進行剖宮產的90例產婦，隨機分為對照組和實驗組，每組均為45例產婦。對照組產婦僅給予小劑量囉呱卡因進行痳醉，實驗組產婦給予小劑量囉呱卡因複閤舒芬太尼進行痳醉。觀察比較兩組產婦的痳醉效果，產婦痳醉效果的滿意度及不良反應髮生情況。結果實驗組產婦痳醉劑起效時間較對照組產婦明顯降低，具有顯著差異(P<0.05)；實驗組產婦的總滿意度較對照組患者明顯提高，具有顯著性差異(P<0.05)；實驗組患者的不良反應髮生率較對照組患者明顯降低，具有顯著性差異(P<0.05)。結論針對剖宮產產婦採用小劑量囉呱卡因複閤舒芬太尼，具有顯著的痳醉效果，提高患者的滿意度，降低不良反應的髮生率。小劑量囉呱卡因複閤舒芬太尼對蛛網膜下腔痳醉剖宮產具有十分重要的臨床意義，值得推廣應用。
목적：탐토소제량라고잡인복합서분태니주망막하강마취용우부궁산적림상효과。방법통과대2012년2월지2013년10월재아원진행부궁산적90례산부，수궤분위대조조화실험조，매조균위45례산부。대조조산부부급여소제량라고잡인진행마취，실험조산부급여소제량라고잡인복합서분태니진행마취。관찰비교량조산부적마취효과，산부마취효과적만의도급불량반응발생정황。결과실험조산부마취제기효시간교대조조산부명현강저，구유현저차이(P<0.05)；실험조산부적총만의도교대조조환자명현제고，구유현저성차이(P<0.05)；실험조환자적불량반응발생솔교대조조환자명현강저，구유현저성차이(P<0.05)。결론침대부궁산산부채용소제량라고잡인복합서분태니，구유현저적마취효과，제고환자적만의도，강저불량반응적발생솔。소제량라고잡인복합서분태니대주망막하강마취부궁산구유십분중요적림상의의，치득추엄응용。
Objective To investigate the clinical efficacy of small doses of ropivacaine combined with sufentanil in subarachoid anesthesia for cesarean. Methods 90 cases of maternal cesarean from February 2012 to October 2013 in our hospital were randomly divided into control group and experimental group, with 45 cases in each. The control group only received a small dose of ropivacaine as anesthesthetic, while the experimental group were given small doses of ropivacaine combined with sufentanil. The primary outcome was a composite of anesthetic efficacy, patients' satisfaction and adverse reactions. Results The onset time of the anesthetic in the experimental group was significant lower than that in the control groups (P <0.05);the degree of satisfaction in the experimental group was significantly higher than that in the control group (P <0.05);the incidencd of adverse reactions in the experimental group were significantly lower than that in the control group (P<0.05). Conclusions Small doses of ropivacaine combined with sufentanil was a remarkably effective anesthetic for cesarean, which improves patient satisfaction, and reduces the incidence of adverse reactions. It has important clinical significance as subarachoid anesthesia for cesarean, which is worthy to promote widely.
