剖宮產麻醉中羅哌卡因復合舒芬太尼的應用效果研究

摘要：目的 分析和研究羅哌卡因復合舒芬太尼應用于剖宮產術中麻醉效果。方法 選取2014年8月～2015年12月行剖宮產患者108例，按奇、偶數字表法將其隨機分為觀察組與對照組，每組各有患者54例。對照組患者采用羅哌卡因行腰硬聯合麻醉；觀察組患者采用羅哌卡因+舒芬太尼行腰硬聯合麻醉。結果 兩組患者術中血流動力學相關指標檢測值相比較：兩組患者麻醉前血流動力學相關指標檢測值均無明顯差異P>0.05；觀察組患者麻醉后收縮壓、舒張壓、平均動脈壓等檢測值均高于對照組P<0.05；兩組患者麻醉后血氧飽和度無明顯差異P>0.05。兩組患者麻醉不良反應發生率相比較：觀察組患者惡心嘔吐、術中牽拉痛、寒戰等發生率低于對照組P<0.05；觀察組患者瘙癢發生率高于對照組P<0.05。結論 將羅哌卡因復合舒芬太尼應用于剖宮產手術患者麻醉中，其對患者血流動力學影響程度較小，并且可降低患者麻醉不良反應發生幾率。

關鍵詞：剖宮產；羅哌卡因；舒芬太尼；應用效果

Study on the Application Effect of Ropivacaine Combined with Sufentanil in Anesthesia in Cesarean Section

HUANG Li-jie

（Department of Anesthesiology，Dujiangyan Maternal and Child Health Care Hospital，Chengdu 611800，Sichuan，China）

Abstract：Objective To analyze and study ropivacaine combined with sufentanil in cesarean section anesthesia.Methods August 2014-December 2015 108 cases of cesarean section line patients，according to odd and even number table，randomly divided into observation group and control group，54 patients in each group.In the control group were treated with ropivacaine epidural anesthesia；observation group were treated with ropivacaine+sufentanil lumbar epidural anesthesia.Results The two groups of patients hemodynamics related indicators compared to the value detected：two groups of patients before anesthesia hemodynamic relative detection valueswere not significantly different P>0.05；observed in patients after anesthesia systolic blood pressure，diastolic blood pressure，mean arterial pressure and other detection valueswere higher P<0.05；oxygen saturation had no significant difference in the two groups after anesthesia P>0.05.Two groups of patients anesthesia incidence of adverse reactions compared：the observation group were nausea and vomiting，surgery referred pain，chills and other rate lower than the control group，P<0.05；the observation group were higher than the incidence of pruritus P<0.05.Conclusion The ropivacaine combined with sufentanil anesthesia used in cesarean section surgery patients，their patient's bloodstream less kinetic impact，and can reduce the probability of occurrence of adverse reactions in patients with anesthesia.

Key words：Cesarean section；Ropivacaine；Sufentanil；Application effect

羅哌卡因做為腰硬聯合麻醉常用藥物，不僅麻醉與止痛作用持續時間長，而且心臟毒性較低[1]，但將其單純應用于麻醉中，藥物引發麻醉不良反應發生率較高，且麻醉后患者血流動力學波動較大，已引起臨床高度重視。本文分析了羅哌卡因復合舒芬太尼應用于剖宮產術中麻醉效果，現報告如下。

1 資料與方法

1.1一般資料 選取2014年8月～2015年12月行剖宮產患者108例，其中：年齡在21～36歲，平均年齡為（28.6±2.7）歲；孕周在37～42 w，平均孕周為（39.2±1.5）w。……