小剂量罗哌卡因复合芬太尼腰―硬联合麻醉用于急诊剖宫产临床观察.docVIP

小剂量罗哌卡因复合芬太尼腰―硬联合麻醉用于急诊剖宫产临床观察 　　[摘要] 目的 分析小剂量罗哌卡因复合芬太尼腰-硬联合麻醉用于急诊剖宫产的临床效果。方法 本次研究中选择60例进行腰硬联合麻醉的急诊剖宫产患者作为研究对象，分为甲组和乙组，分别采用大剂量罗哌卡因复合芬太尼和小剂量罗哌卡因复合芬太尼进行麻醉诱导，对效果进行分析。 结果 乙组的各项时间明显少于甲组，乙组的不良反应率明显低于甲组，对甲组和乙组的治疗效果进行分析，乙组的麻醉效果明显高于甲组，差异有统计学意义（P0.05）。 结论 对接受腰-硬联合麻醉的急诊剖宫产患者采用小剂量罗哌卡因复合芬太尼进行麻醉诱导，其优势明显，整体满意度比较高，因此值得推广和应用。 　　[关键词] 小剂量；罗哌卡因；芬太尼；腰-硬联合麻醉；剖宫产 　　[中图分类号] R614 [文献标识码] A [文章编号] 2095-0616（2017）14-90-03 　　Clinical observation of small dose of ropivacaine combined with fentanyl-hard combined anesthesia for emergency cesarean section 　　NI Rufei LIU Yong LIU Guodong DONG Zhifang XIE Wei 　　Department of Anesthesiology，Foshan Maternal and Child Health Hospital，Foshan 528000，China 　　[Abstract] Objective To analyze the clinical effect of low-dose ropivacaine compound fentanyl-hard combined anesthesia for emergency caesarean section. Methods 60 cases with waist hard joint anesthesia emergency cesarean section patients were selected as the research object，and they were divided into group A and group B，and large dose ropivacaine combined with fentanyl and small dose ropivacaine combined with fentanyl were used respectively.The effect was analyzed. Results The time of group B was significantly less than that of group A.The adverse reaction rate of group B was lower than that of group A.The effect of the anesthetic effect of group B was significantly higher than that of group A.The difference between the two groups was statistically significant （P0.05）. Conclusion For the patients with emergency cesarean section with combined spinal epidural anesthesia，Induction of anesthesia with low dose ropivacaine combined with fentanyl has obvious advantages.Its overall satisfaction is higher.Therefore，it is with popularization and application. 　　[Key words] Small dose；Ropivacaine；Fentanyl；Combined spinal epidural anesthesia；Caesarean section 　　?R床实践证明，剖宫产的发生几率比较高，根据麻醉方式的具体要求可知，在实践阶段要掌握麻醉形式的具体要求，根据护理方式和模式要求进行，按照实际情况给予麻醉，保证后续治疗的合理性[1]。为了分析小剂量罗哌卡因复合芬太尼腰-硬联合麻醉用于急诊剖宫产的临床效果，选择60例进行腰硬联合麻醉的急诊剖