0.75%罗哌卡因复合不同剂量舒芬太尼腰麻在剖宫产术中的应用.docVIP

精品论文 参考文献 0.75%罗哌卡因复合不同剂量舒芬太尼腰麻在剖宫产术中的应用 张新科 　　吉首市人民医院 湖南吉首 416000 　　【摘 要】目的 探讨0.75 %罗哌卡因复合不同剂量舒芬太尼腰麻在剖宫产术中的应用效果。方法 收集2014 年3 月至2015 年3 月我院收治的剖宫产术式分娩产妇62 例，采用随机数字法分为两组，两组产妇均给予0.75 %罗哌卡因进行麻醉，A组（n=30）复合5.0 mu;g舒芬太尼进行腰麻，B组（n=30）复合7.5mu;g舒芬太尼进行腰麻，比较两组产妇的麻醉效果、痛觉、运动阻滞时间和不良反应发生率。结果 A组产妇麻醉有效率为93.33 %，B组产妇麻醉有效率为96.67 %，Pgt;0.05；A组产妇痛觉恢复时间为352.48plusmn;138.65 min，B组为产妇为369.94plusmn;141.58 min，Pgt;0.05；A组运动恢复时间为88.59plusmn;15.76 min，B组为产妇为90.14plusmn;19.55 min，Pgt;0.05；A组产妇改良Bromage评分为2.81plusmn;0.42 分，B组为产妇为2.74plusmn;0.57 分，Pgt;0.05；A组产妇不良反应发生率明显低于B组，Plt;0.05。结论 0.75 %罗哌卡因复合5.0 mu;g舒芬太尼和7.5 mu;g舒芬太尼两种麻醉方法的麻醉效果和术后产妇运动阻滞、痛觉恢复情况相当，但是前者麻醉后产妇的不良反应明显小于后者，安全性更高，是剖宫产术的理想麻醉方法，值得推广应用。 　　【关键词】罗哌卡因；舒芬太尼；腰麻；剖宫产 　　[Abstract] objective to explore the 0.75% ROM pp compound because different doses sufentanil lumbar hemp application effect in cesarean section. Method collected in March 2014 to March 2015，the cesarean delivery operation for our hospital childbirth puerpera 62 cases，divided into two groups by random number method，two groups of mothers were given 0.75% ROM pp paid for anesthesia，group A （n = 30）composite 5.0 mu g ShuFen too for lumbar hemp，group B （n = 30）composite 7.5 mu g ShuFen too for lumbar hemp，comparing two groups of maternal effect of anesthesia，pain，motor block time and incidence of adverse reactions. Results A group of maternal anesthesia effective rate of 93.33%，B group of maternal anesthesia effective rate of 96.67%，P gt; 0.05；Group A maternal pain recovery time was 352.48 + / - 138.65 min，group B for the mothers was 369.94 + / - 141.58 min，P gt; 0.05；Group A movement recovery time was 88.59 + / - 15.76 min，group B for the mothers was 90.14 + / - 19.55 min，P gt; 0.05；Group A maternal modified Bromage score was 2.81 + / - 0.42 points，B group of mothers of plus or minus 0.57 points，2.74 P gt; 0.05；Incidence of maternal adverse reaction of group A was lower than that in group B，P lt; 0.05. Conclusion 0.75% ROM pp composite 5.0 mu g ShuFen paid too，and 7.5 mu g Shu