罗哌卡因联合舒芬太尼在剖宫产术后镇痛中临床效果分析.docVIP

罗哌卡因联合舒芬太尼在剖宫产术后镇痛中临床效果分析 　　[摘要] 目的 探讨罗哌卡因联合舒芬太尼在剖宫产术后镇痛中的临床疗效。方法 方便选取2014年3月―2015年3月该院麻醉科收诊的剖宫产产妇60例，随机法分为观察组及对照组各30例，对照组术后给予罗哌卡因联合吗啡镇痛治疗，观察组术后给予罗哌卡因联合舒芬太尼镇痛治疗，记录并分析两组产妇镇痛效果。结果 观察组术后2 h、8 h、12 h、24 hVAS评分分别为（1.98±0.81）分、（2.28±0.78）分、（1.66±0.67）分、（1.17±0.61）分，均低于对照组（3.51±1.07）分、（3.82±1.03）分、（3.24±0.95）分、（2.16±0.55）分，且差异具有统计学意义（P0.05）；观察组术后肌力恢复正常时间和肛门排气时间分别为（7.28±1.16）h、18.49±1.71）h，均低于对照组（15.67±3.59）h、20.84±2.10）h，且差异有统计学意义（P0.05）；③观察组产妇术后不良反应发生率为6.67%，显著低于对照组26.67%，且差异具有统计学意义（P0.05）； 结论 罗哌卡因联合舒芬太尼在剖宫产术后镇痛中的效果优于罗哌卡因联合吗啡，不良反应低，能有效缓解孕妇术后疼痛。 　　[关键词] 罗哌卡因；舒芬太尼；剖宫产术后镇痛 　　[中图分类号] R714 [文献标识码] A [文章编号] 1674-0742（2016）05（c）-0004-03 　　[Abstract] Objective To observe the clinical effect of ropivacaine combined with sufentanil in cesarean section postoperative analgesia.Methods 60 cases of cesarean section from 2014 March-March 2015，were randomly divided into observation group and control group with 30 cases.the control group were given ropivacaine combined with morphine analgesia，observation group were given ropivacaine combined with sufentanil analgesia，record and analysis two groups analgesia effect. Results Observation group after 2h， 8h， 12h， 24h VAS scores were（1.98±0.81），（2.28±0.78），（1.66±0.67），（1.17±0.61） points， were lower than the control group （3.51±1.07），（3.82±1.03），（3.24±0.95），（2.16±0.55） points，the difference was significant （P0.05）；Observation of postoperative muscle recovery time and flatus were（7.28±1.16），（18.49±1.71） h， were lower than the control group （15.67±3.59），（20.84±2.10） h，the difference was significant （P0.05）；Groups were observed after the occurrence of adverse reactions was 6.67%，significantly lower than the control group 26.67%，the difference was significant（P0.05）； Conclusion The effect of ropivacaine combined with sufentanilin cesarean section analgesia is better than that of ropivacaine combined with morphine，low adverse reactions，which can relieve the symptoms of postoperative pain in pregnant women. 　　[Key words] Ropivacaine； Sufentanil