不同剂量舒芬太尼与罗哌卡因复合硬膜外麻醉在剖宫产术中应用.docVIP

不同剂量舒芬太尼与罗哌卡因复合硬膜外麻醉在剖宫产术中的应用 　　[摘要] 目的 探?不同剂量舒芬太尼与罗哌卡因复合硬膜外麻醉在剖宫产术中的应用。 方法 选择在我院住院并行剖宫产手术的孕妇90例。随机分为三组，三组患者均采用硬膜外麻醉，A组的麻醉药物采用0.75%罗哌卡因10 mL，B组麻醉药物采用0.75%罗哌卡因10 mL与舒芬太尼10 μg，C组麻醉药物采用0.75%罗哌卡因10 mL与舒芬太尼20 μg。观察并比较三组产妇的感觉阻滞起效时间、运动阻滞起效时间、镇痛持续时间、下肢运动神经阻滞程度、术中肌松等级、取胎时VAS疼痛评分情况及不良反应，同时观察娩出时新生儿Apgar评分。 结果 B组与C组感觉阻滞起效时间、运动阻滞起效时间均快于A组（P0.05）；B组与C组取胎时VAS评分均低于A组（P0.05）。 结论 采用0.75%罗哌卡因复合20 μg舒芬太尼能取得最好的麻醉效果，产妇感觉与运动阻滞快、镇痛持续时间长、取胎时VAS低，不良反应少。 　　[关键词] 剖宫产；舒芬太尼；罗哌卡因；硬膜外麻醉 　　[中图分类号] R614 [文献标识码] B [文章编号] 1673-9701（2018）01-0107-04 　　Application of different doses of sufentanil and ropivacaine combined with epidural anesthesia in cesarean section 　　RUAN Beiyan1 CHEN Qingjuan2 CHEN Jian2 CHEN Hongcai3 　　1.Department of Anesthesiology，Taizhou Central Hospital in Zhejiang Province，Taizhou University Hospital，Taizhou 318000，China； 2.Department of Anesthesiology，Taizhou Enze Medical Center（Group） Taizhou Hospital Affiliated Maternity Hospital in Zhejiang Province， Taizhou 318000， China； 3.Department of Anesthesiology，Taizhou Enze Medical Center（Group） Luqiao Hospital， Taizhou 318050，China 　　[Abstract] Objective To investigate the application of different doses of sufentanil and ropivacaine combined with epidural anesthesia in cesarean section. Methods A total of 90 pregnant women who were hospitalized in our hospital and received cesarean section in our hospital were selected. They were randomly divided into three groups， and three groups of patients were all given epidural anesthesia. The anesthetics in group A was 10 mL 0.75% ropivacaine， the anesthetics in group B was 10 mL 0.75% ropivacaine and 10 μg sufentanil， and the anesthetics in group C was 10 mL 0.75% ropivacaine and 20 μg sufentanil. The onset time of sensory block， the onset time of exercise block， the duration of analgesia， the degree of motor nerve block of lower extremity， the degree of muscle relaxation， the VAS pain scores upon fetus taking and adverse reactions were observed and compared among the three groups， an