CAJ | 학술논문

目的：评价剖宫产术后不同镇痛药物效果。方法选择2012年5月-2013年6月在郑州大学第五附属医院妇产科住院择期进行剖宫产产妇196例，随机分为试验1组和试验2组，试验1组术后给予柠檬酸舒芬太尼注射液+复合罗哌卡因注射液，试验2组给予柠檬酸芬太尼注射液+复合罗哌卡因注射液，评价两组镇痛效果和不良反应情况。结果两组产妇术后疼痛VAS评分均随时间推移而改善，试验1组各时点VAS评分均低于试验2组，差异均具有统计学意义(P<0.05)；试验1组术后镇痛总不良反应发生率为23.5%，远低于试验2组的39.8%，差异具有统计学意义(P<0.05)。结论舒芬太尼用于剖宫产术后硬膜外镇痛具有起效快、作用强、持续时间长、效果好、副反应少等优点，值得在临床推广使用。
목적：평개부궁산술후불동진통약물효과。방법선택2012년5월-2013년6월재정주대학제오부속의원부산과주원택기진행부궁산산부196례，수궤분위시험1조화시험2조，시험1조술후급여저몽산서분태니주사액+복합라고잡인주사액，시험2조급여저몽산분태니주사액+복합라고잡인주사액，평개량조진통효과화불량반응정황。결과량조산부술후동통VAS평분균수시간추이이개선，시험1조각시점VAS평분균저우시험2조，차이균구유통계학의의(P<0.05)；시험1조술후진통총불량반응발생솔위23.5%，원저우시험2조적39.8%，차이구유통계학의의(P<0.05)。결론서분태니용우부궁산술후경막외진통구유기효쾌、작용강、지속시간장、효과호、부반응소등우점，치득재림상추엄사용。
Objective To investigate the effect of using different analgesic drugs after cesarean section. Methods 196 cases of elective cesarean section were selected from May 2012 to June 2013 at the Fifth Affiliated Hospital of Zhengzhou University. Ran-domly divided into experimental group 1 and group 2. In experimental group 1, puerpera was given sufentanil citrate injection +ropivacaine injection. In group 2, was given fentanyl citrate injection+ropivacaine injection. Analgesic efficacy and adverse reac-tions were evaluated. Results Two groups of maternal postoperative pain VAS scores were improved over time. At each time, the VAS score in experimental group 1 was lower than group 2, the differences were statistically significant (P<0.05). The total inci-dence of adverse reactions in experimental group 1 was 23.5%, much lower than group 2, which was 39.8%, the difference was statistically significant (P<0.05). Conclusion Sufentanil used for epidural analgesia after cesarean section had the advantage of rapid onset, strong role, long duration, good effect and fewer adverse reactions. It was worthy of promoting clinical use.