咪达唑仑复合舒芬太尼用于腰硬联合麻醉的镇静效果比较

The sedation efficacy comparsion of midazolam combined with sufentanil forcombined spinal-epidural anesthesia.

目的探讨咪达唑仑复合舒芬太尼在腰硬联合麻醉过程中的镇静效果。方法 2011年12月~2012年12月,我院诊治的80例腰硬联合麻醉患者,被随机分为对照组（咪达唑仑麻醉）和观察组（咪达唑仑复合舒芬太尼麻醉）,给药后30min对改良警觉/镇静观测评分（QAA/S评分）、遗忘程度,以及体动情况,进行观察和比较。结果与对照组相比,观察组患者QAA/S评分、术中体动发生率均明显降低,术后遗忘程度更高,P〈0.05。结论咪达唑仑复合舒芬太尼用于腰硬联合麻醉的镇静效果显著,值得临床推广。

Objective To study the sedation efficacy comparsion of midazolam combined with sufentanil for combined spinal-epidural anesthesia.Methods 80 patients of combined spinal-epidural anesthesia in our hopital during the period from Dec 2011 to Dec 2012 were randomized into the control group（the anesthesia of midazolam） and the observtion group（the anesthesia of midazolam combined with sufentanil）.The modifined alertness / sedation view scores（QAA / S）.the forgetfulness and body movements in the observed and compared.Results Compared with the control group,the QAA / S scores and body movements in the observation group were significantly decreased and the forgetfulness was obviously increased,P〈0.05.Conclusion For the combined spinal-epidural anesthesia,the sedation efficacy of midazolam combined with sufentanil is significant and worthy of clinical promtion.