罗哌卡因复合舒芬太尼腰硬联合麻醉在剖宫产术中的应用.docVIP

罗哌卡因复合舒芬太尼腰硬联合麻醉在剖宫产术中的应用 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：罗哌卡因复合舒芬太尼腰硬联合麻醉在剖宫产术中的应用 1 1 资料与方法 2 2 结果 4 3 讨论 5 文2：轻比重罗哌卡因腰硬联合麻醉在剖宫产术中的应用 7 1 资料与方法 8 2 结果 9 3 讨论 9 参考文摘引言： 10 原创性声明（模板） 12 文章致谢（模板） 12 正文 罗哌卡因复合舒芬太尼腰硬联合麻醉在剖宫产术中的应用 文1：罗哌卡因复合舒芬太尼腰硬联合麻醉在剖宫产术中的应用 Application of Ropivacaine Combined with Sufentanil Combined Spinal-epidural Anesthesia in Cesarean SectioTU Yuan-yan，LI Jing，ZHOU Innovation of China，2017，14（05）：123-126 【Abstract】 Objective：To explore the effect of Ropivacaine combined with Sufentanil combined spinal epidural anesthesia for cesarean section ：A total of 90 patients received delivery in our hospital from June 2015 to June 2016 were randomly selected as the research women underwent cesarean section，they were divided into the observation group and the control group according to different anesthesia methods，45 cases in each control group was treated with Ropivacaine anesthesia，the observation group was treated with Ropivacaine combined with Sufentanil combined spinal epidural oet and duration time of anesthesia，postoperative pain，complicatio and other indicato of two groups were ：Oet and duration time of anesthesia in the observation group were shorter（），after 3，6 h，the observation group VAS scores were lower than those of the control group（）.Conclusion：The clinical effect is obvious of Ropivacaine combined with Sufentanil combined spinal epidural anesthesia for cesarean section，can obtain better analgesic effect，and the little influence on maternal，can eure the smooth operation and promote maternal postoperative rehabilitation，is worthy of promotion in clinical application.羅哌卡因是一种长效局麻药物，其对心脏、神经系统的毒性作用非常低，能起到较好的运动感觉阻滞分离效果，故而在临床上得到广泛应用，目前已在剖宫产术中得到广泛应用，但是由于其无法有效的阻滞内脏神经，所以在剖宫产术中可能出现内脏牵拉痛，尤其是在取胎时非常明显[1-3]。笔者认为将罗哌卡因与舒芬太尼复合用于剖宫产术中，能提高麻醉镇痛效果，保证产妇顺利手术，现报道如下。 1 资料与方法 一般资料 本研究中的90例产妇为2015年6月-2016年6月来本院妇产科分娩的产妇，全部产妇均采用剖宫产术，均为单胎妊娠。排除对局麻药过敏、对阿片类药物过敏、胎儿异常、妊娠高血压、心血管疾病、神经系统疾病的产妇。根据麻醉方法的不同将90例产妇分入到观察组和对照组中，观察组中产妇45例，年龄24～