国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
16期
2484-2486
,共3页
黄建忠%符紫艺%卢钊楷%韩全国%刘永宏%王智钧%谭素云%李士翔%黄粱淘
黃建忠%符紫藝%盧釗楷%韓全國%劉永宏%王智鈞%譚素雲%李士翔%黃粱淘
황건충%부자예%로쇠해%한전국%류영굉%왕지균%담소운%리사상%황량도
舒芬太尼%剖宫产%罗哌卡因%蛛网膜下腔阻滞
舒芬太尼%剖宮產%囉哌卡因%蛛網膜下腔阻滯
서분태니%부궁산%라고잡인%주망막하강조체
Sufentanil%Cesarean section%Ropivacaine%Subarachnoid block
目的 研究舒芬太尼对剖宫产罗哌卡因蛛网膜下腔阻滞效应的影响.方法 选择2012年1月至2013年1月我院收治的剖宫产产妇90例,随机分为两组,对照组给予罗哌卡因15 mg麻醉,实验组在对照组的基础上给予10μg舒芬太尼麻醉,对比观察两组麻醉效果(感觉阻滞时间、Bromage评分达到3分时间和OAA/S评分).结果 实验组产妇感觉阻滞时间短,Bromage评分达到3级时间短,OAA/S评分更优,与对照组比较差异有统计学意义(P＜0.05).两组不良反应发生率差异无统计学意义(P＞0.05).两组产妇手术中平均动脉压、心率和血氧饱和度均有所降低,与麻醉前比较差异有统计学意义(P＜0.05);实验组产妇术中平均动脉压、心率和血氧饱和度均高于对照组,差异有统计学意义(P＜0.05).结论 舒芬太尼对剖宫产罗哌卡因蛛网膜下腔阻滞效应具有加强作用,可以起到更好的镇痛作用,且具有较高的安全性,是一种较好的麻醉方法.
目的 研究舒芬太尼對剖宮產囉哌卡因蛛網膜下腔阻滯效應的影響.方法 選擇2012年1月至2013年1月我院收治的剖宮產產婦90例,隨機分為兩組,對照組給予囉哌卡因15 mg痳醉,實驗組在對照組的基礎上給予10μg舒芬太尼痳醉,對比觀察兩組痳醉效果(感覺阻滯時間、Bromage評分達到3分時間和OAA/S評分).結果 實驗組產婦感覺阻滯時間短,Bromage評分達到3級時間短,OAA/S評分更優,與對照組比較差異有統計學意義(P＜0.05).兩組不良反應髮生率差異無統計學意義(P＞0.05).兩組產婦手術中平均動脈壓、心率和血氧飽和度均有所降低,與痳醉前比較差異有統計學意義(P＜0.05);實驗組產婦術中平均動脈壓、心率和血氧飽和度均高于對照組,差異有統計學意義(P＜0.05).結論 舒芬太尼對剖宮產囉哌卡因蛛網膜下腔阻滯效應具有加彊作用,可以起到更好的鎮痛作用,且具有較高的安全性,是一種較好的痳醉方法.
목적 연구서분태니대부궁산라고잡인주망막하강조체효응적영향.방법 선택2012년1월지2013년1월아원수치적부궁산산부90례,수궤분위량조,대조조급여라고잡인15 mg마취,실험조재대조조적기출상급여10μg서분태니마취,대비관찰량조마취효과(감각조체시간、Bromage평분체도3분시간화OAA/S평분).결과 실험조산부감각조체시간단,Bromage평분체도3급시간단,OAA/S평분경우,여대조조비교차이유통계학의의(P＜0.05).량조불량반응발생솔차이무통계학의의(P＞0.05).량조산부수술중평균동맥압、심솔화혈양포화도균유소강저,여마취전비교차이유통계학의의(P＜0.05);실험조산부술중평균동맥압、심솔화혈양포화도균고우대조조,차이유통계학의의(P＜0.05).결론 서분태니대부궁산라고잡인주망막하강조체효응구유가강작용,가이기도경호적진통작용,차구유교고적안전성,시일충교호적마취방법.
Objective To study the effect of sufentanil on subarachnoid block in spinal anesthesia for cesarean section ropivacaine.Methods From January 2012 to January 2013 in our hospital,90 cases of cesarean section were randomly divided into two groups,the control group received 15 mg of ropivacaine anesthesia,the experimental group was given 10 μ g of sufentanyl anesthesia on the basis of the control group.We compared and observed the anesthetic effect (sensory block the time to Bromage score three points and OAA/S score).Results The maternal feeling fast blockade reached Bromage score 3 OAA/S score better indicators than those of the control group,the difference was statistically significant (P＜0.05).The adverse reactions of two sets showed no significant difference(P＞0.05).Two sets of maternal surgery had reduced mean arterial pressure,heart rate and blood oxygen saturation,and before anesthesia,the difference was statistically significant(P＜0.05).In maternal surgery experimental group,mean arterial pressure,heart rate and blood oxygen saturation were all higher than those of the control group,the difference was statistically significant(P＜0.05).Conclusion Sufentanil has a positive effect on the cesarean section ropivacaine subarachnoid block,which has a better analgesic effect and a high level of security,it is a better anesthesia method.
