小剂量罗哌卡因复合芬太尼与等剂量单纯罗哌卡因腰硬联合麻醉用于急诊剖宫产的临床观察.doc

小剂量罗哌卡因复合芬太尼与等剂量单纯罗哌卡因腰-硬联合麻醉用于急诊剖宫产的临床观察 呂燕 (建水县妇幼保健院云南建水654399) 】A的：观察小剂量罗哌卡因复合芬太尼蛛网膜1腔阻滞，与应用等 剂量单纯罗哌卡因相比，能否更为安全、有效地用于急诊剖宫产术。方法：2014 年5月一2014年9月在本院进行急诊剖宫产的单胎产妇60例，随机分为罗哌卡 因复合芬太尼组和单纯罗哌卡因组，产妇左侧卧位下于L3-4间隙用针|Aj针方法 行腰-硬联合麻醉，分别用罗哌卡因复合芬太尼或单纯罗哌卡因蛛网膜卜腔注入。 记录患者麻醉前、给药后心率、血压、呼吸变化，麻醉平面、麻醉起效时间、T 肢运动神经阻滞情况，硬膜外追加局麻药、使用升压药、术屮疼痛、肌松不满意 情况，记录新生儿体重、出虫1 min APgar评分，产P出血量。结果：麻醉平面 复合芬太尼组高于单纯罗哌卡因组(Plt;0.01),麻醉起效时间复合芬太尼组长 于单纯罗哌卡因组(Plt;0.05),血压麻醉后较术前降低(Plt;0.01),给药后5 min、 7min单纯罗哌卡因组低于复合芬太尼组(Plt;0.01, Plt;0.05),呼吸频率复合 芬太尼组给药后较术前降低(Plt;0.01, Plt;0.05),使用升压药单纯罗哌卡因组 高于复合芬太尼组(Plt;0.01),关腹痛单纯罗哌卡因组高于复合芬太尼组 (Plt;0.05),皮肤瘙痒复合芬太尼组高于单纯罗哌卡因组(Plt;0.01),呼吸频 率、运动评分组间比较差异无统计学意义(Pgt;0.05)o结论：罗哌卡因复合芬 太尼蛛网膜下腔阻滞与等剂量单纯罗哌卡因蛛网膜下腔阻滞相比，麻醉效果更加 确切，产妇血流动力学更加平稳、关腹时牵拉痛的发生率明显降低，镇痛更完善。 关键词】罗哌卡因；芬太尼；腰-硬联合麻醉；急诊剖宫产 屮图分类号】R614 】A 文章编 号】2095-1752 (2015) 03-0030-03 Small doses of luo pp because compound fentanyl and isodose, pure pp because waist - hard combined anesthesia clinical observation for emergency cesarean section Lv Yan.Jianshu maternity and child care industry, Yunnan province, Jianshui 654399, China Abstract】Objective Observe small doses, pp because the compound fentanyl subarachnoid block, and application of isodose, pure pp, compared to paid can be more safe and effective for emergency cesarean section. Methods In May 2014 - September 2014 in our hospital for emergency cesarean section in single fetal maternal 60 cases, were randomly divided into ROM pp because the compound fentanyl group and pure pp because group. Record before anesthesia, patients with heart rate, blood pressure, breathing change after the treatment, and so on and so forth. Results Anesthesia plane compound fentanyl group is higher than pure ROM pp because group (P lt; 0.01), the anesthesia effect time compound fentanyl group leader in pure ROM pp because group (P lt; 0.05), respiratory frequency compound fentanyl group compared with preoperative reduced after the treatment (P lt; 0.01, P lt; 0.05), the use of vasopressors, pure pp pa