硬膜外腔注入芬太尼用于剖宫产手术的麻醉体会

Epidural Injection of Fentanyl-Lidocaine-Dicaine Mixture for Cesarean Section

35例健康足月产妇,随机分成两组,F组(21例)以75～100μg芬太尼与局麻药混合,L组(14例)仅用局麻药注入硬膜外腔用于剖宫产麻醉。F组和L组镇痛效果评分为2.8±0.11和2.2±0.21(P<0.01),术后镇痛持续时间分别为316.3±57.45min和288.53±34.73min(P>0.05),肌松效果评分分别为4.6±0.14和3.93±0.64(P>0.05),新生儿Apgar 1min评分分别为8.71±0.50分和9.13±0.63分(P>0.05)。结果表明,硬膜外腔注入芬太尼能增强麻醉的镇痛效果,不影响腹肌松弛,不增加副作用的发生率,对母婴无明显不良影响。

The analgesia and effect of epidurally injecting fentanyl-lidocaine-dicaine mixture (FLD) on the matermal and fetus were studied in 35 patients undergoing cesarean section. It was found that the analgesic effect of FLD was much better than that of a mixture of lidocaine and dicaine. FLD mixture epidurally used did not effect the Apgar