Ropivacaine combined with small dose of intrathecal injection of sufentanil used in elective cesarean section clinical study.doc

 PAGE \* MERGEFORMAT 4 Ropivacaine combined with small dose of intrathecal injection of sufentanil used in elective cesarean section clinical study Author: Wang Qiang Wang Wenyuan, Zhao Jin-Ning Zhong Teddy [Abstract] Objective To observe the small-dose ropivacaine combined with intrathecal injection of sufentanil used in elective Cesarean section of the anesthetic effect, to explore the rational combination of two drugs compatibility dose. Methods 120 cases of elective cesarean section under combined spinal-epidural anesthesia were randomly divided into four groups of pregnant women, I Group: 1.5ml 0.75% ropivacaine +1 ml 10% glucose +0.5 ml sufentanil 5μ g; II Group: 1.5ml 0.75% ropivacaine +1 ml 10% glucose +0.5 ml sufentanil 7.5μ g; III Group: 1.5ml 0.75% ropivacaine +1 ml 10% glucose +0.5 ml sufentanil 10.0μ g; IV Group: 2.0ml 0.75% Ropivacaine +1 ml 10% glucose, each group of 30 cases. Comparison of each group the effect of maternal spinal anesthesia, intraoperative traction response inhibition, perioperative complication rate and neonatal umbilical cord blood gas, Apgar score statistical difference. Results II, III, IV group than in I group of patients in the epidural to reduce the amount of additional local anesthetic (χ 2 = 10.23, P all amp;lt;0.05); IV group chills and a low incidence of hypotension (χ 2 = 12.38,14.20, respectively, , P amp;lt;0.05); I, II group and III group, perioperative lower the incidence of pruritus (χ 2 = 13.45, P all amp;quot;0.05). I, II group and III, IV group compared with nausea, vomiting, the incidence of low (χ 2 difference = 9.87,10.05, P all amp;quot;0.05). Apgar score after the newborn DI (baby is delivered immediately, parturition, after 10min), from skin incision to the time of parturition and neonatal umbilical cord blood gas analysis (pH, PCO2, PO2, SBE) There was no significant difference in comparison (χ 2 difference = 2.05,2.19,3.32,2.49,1.96,2.97,1.78, P are amp;quot;0.05). Sense of anesthesia in each group,