剖宫产行小剂量罗哌卡因复合舒芬太尼蛛网膜下腔麻醉的临床分析

Clinical Analysis of Subarachnoid Anesthesia with Small Dose Ropivacaine Combined with Sufentanil in Caesarean Section

目的探讨剖宫产行小剂量罗哌卡因复合舒芬太尼蛛网膜下腔麻醉的临床效果。方法选择剖宫产产妇98例,随机均分为两组。对照组采用小剂量罗哌卡因麻醉,观察组采用小剂量罗哌卡因复合舒芬太尼蛛网膜下腔麻醉,观察两组的麻醉效果。结果麻醉后,观察组的血压及心率均显著低于对照组,麻醉起效时间及持续时间均显著优于对照组,术后疼痛评分显著低于对照组,新生儿Apgar评分显著高于对照组,差异有统计学意义(P<0.05)。结论在剖宫产手术中采用小剂量罗哌卡因复合舒芬太尼蛛网膜下腔麻醉可有效稳定产妇的生命体征,提高麻醉效果,减轻术后疼痛程度,且不会对新生儿产生不利影响,安全性高。

Objective To investigate the clinical effect of small dose ropivacaine combined with sufentanil for subarachnoid anesthesia in caesarean section. Methods 98 cases of cesarean section were randomly divided into two groups equally. The control group was given low-dose ropivacaine for anesthesia, and the observation group was given low-dose ropivacaine combined sufentanil for subarachnoid anesthesia. The anesthetic effects of two groups were observed. Results After anesthesia, the blood pressure and heart rate of the observation group were significantly lower than those of the control group, the onset time and duration of anesthesia were significantly better than those ofthe control group, the postoperative pain score was significantly lower than that ofthe control group, and the Apgar score of neonates was significantly higher than that of the control group, with statistical differences （P 〈0.05）. Conclusions Low-dose ropivacaine combined with sufentanil for subarachnoid anesthesia in caesarean section can effectively stabilize the maternal vital signs, improve the anesthetic effect, and reduce the postoperative pain degree; Also, it has high safety, since it does not adversely affect newborns.