探讨舒芬太尼复合利多卡因用于再次剖宫产硬膜外的麻醉效果.docVIP

精品论文 参考文献 探讨舒芬太尼复合利多卡因用于再次剖宫产硬膜外的麻醉效果 甘南妇幼保健院 162100 摘要：目的 研究分析舒芬太尼复合利多卡因用于瘢痕子宫再次剖宫产硬膜外麻醉的效果。方法 此次研究的对象是选择本院产科瘢痕子宫再次剖宫产产妇120例，将其临床资料进行回顾性分析，硬膜外穿刺成功后注入2%利多卡因试验剂量3ml。随机分为对照组和观察组，对照组硬膜外腔注入单纯2%利多卡因5ml，观察组硬膜外腔注入2%利多卡因5ml+舒芬太尼25mu;g（0.5ml），观察麻醉平面无异常后，两组硬膜外腔均注入2%利多卡因直至麻醉平面达T8。结果 观察组产妇VAS明显优于对照组（Plt;0.005）；两组新生儿评分均大于9分，无统计学意义（Pgt;0.05）。结论 利多卡因合舒芬太尼用于再次剖宫产硬膜外麻醉镇痛效果理想，对母婴无不良影响，提高产妇满意度。 关键词：疤痕子宫；再次剖宫产；舒芬太尼；硬膜外；安全性 Abstract：Objective To study the analysis of sufentanil combined with lidocaine for repeat cesarean section with epidural anesthesia effect.Methods this study was conducted in 120 cases of cesarean section in our hospital, and the clinical data were retrospectively analyzed.After successful epidural puncture, 2% lidocaine test dose was injected into the 3ml.Were randomly divided into for the observation group and the control group, control group, epidural cavity injection only 2% lidocaine 5ml, observer group, epidural cavity injection of 2% lidocaine 5ml sufentanil 25 g（0.5 ml）, and observed the level of anesthesia without exception, two groups of epidural cavity were injected lidocaine until anesthesia plane of T8.Results the observation group maternal VAS was significantly better than the control group（Plt;0.005）；the two groups of neonatal scores were greater than 9 points, no statistical significance（Pgt;0.05）.Conclusion Lidokankoshufinta Ni used to re cesarean section epidural anesthesia analgesia effect is ideal, no adverse effects on maternal and infant, improve maternal satisfaction. Keywords：uterine scar；cesarean section；sufentanil；epidural；safety 1 资料与方法 1.1一般资料 选择在本院行再次剖宫产的疤痕子宫足月孕妇120例，心功能（ASA）Ⅰ～II级，年龄23～39岁，体重56～85kg，身高152～170cm。随机分为观察组和对照组。各60例，两组产妇在年龄、身高及体重方面比较差异无统计学意义（Pgt;0.05），具有可比性。 有硬膜外麻醉禁忌症及拒绝硬膜外麻醉的除外。 1.2方法 孕妇入室后常规监测ECG、BP、SPO2、HR。均在左侧卧位行L2～3间隙行硬膜外穿刺，向头端置管3cm。硬膜外穿刺成功后注入2%利多卡因试验剂量3ml，固定导管后平卧，确定无脊麻征象及其他不适。对照组硬膜外腔注入单纯2%利多卡因5ml，观察组硬膜外腔注入2%利多卡因5ml+舒芬太尼25mu;g（0.5ml），观察麻醉平面无异常后，两组硬膜外腔均注入2%利多卡因直至疼痛平面消失达T8。 手术过程中产妇诉疼痛不适