舒芬太尼复合罗哌卡因对剖宫产术后早期运动功能恢复的影响

Effect of early motor function when ropivacaine incombination with sufentnil in epidural anlagsia for post-- cesarean section

目的：探讨罗哌卡因复合舒芬太尼硬膜外麻醉对剖宫产术后早期运动功能恢复的影响.方法：将ASAⅠ-Ⅱ级择期剖宫产60例随机分为2组,每组30例,行硬膜外麻醉,药物配方为A组0.75%罗哌卡因15ml,B组0.66%罗哌卡因13ml＋舒芬太尼10ug;记录感觉阻滞开始时间、术中及术后运动阻滞评分,评价麻醉效果及不良反应.结果：①B组麻醉效果优于A组,但无显著差异（P〉0.05）.②B组运动阻滞（改良Bromage评分）程度轻、术后运动功能恢复快（P〈0.05）.结论：舒芬太尼10ug复合0.66%罗哌卡因13ml硬膜外阻滞麻醉效果好、术后运动功能恢复快,适合于剖宫产手术的麻醉.

Objective To compare and investigate the efficiency and early motor function of different doses of ropivacaine incombination or not with sufentanil in epidural anlagsia for post--cesarean section analgesia. Methods In this double--blind, randomized, controlled trial, ASA I or II parturi- ents （n=60） with elective cesarean section were randomly assigned to two groups to receive different doses of ropivacaine in combination with sufent- nil for epidural anlagsia postoperatively： Group A （0. 75 % ropivacaine 15ml; n= 30）; Group B （0.66 % ropivacaine 13ml with sufentanil 10ug; n= 30） ; efficiency, modified Bromage scales and side effects were recorded . Results the efficiency of Group B not significantlylnereased compared with Group A （P〉0.05）. The modified Bromage scales of Group B significantly decreased compared with Group A post--cesarean section （P 〈 0.05）. The incidence of side effects had no significant difference between two groups. Conclusions Sufentanil 10ug combination with 0.66% ropivacaine, compared with other group, can provide better postoperative early motor function for cesarean section ,meanwhile not increase the incidence of side .