瑞芬太尼对剖腹产孕妇的麻醉效果及镇静评分和VAS评分的影响

Effects of Remifentanil on Anesthesia,Ramsay score and VAS score in Pregnant Women undergoing Caesarean Section

【目的】探讨瑞芬太尼对剖腹产孕妇的麻醉效果及镇静评分(Ramsay评分)和视觉模拟评分(VAS评分)的影响。【方法】本院收治的剖腹产孕妇100例,随机分为两组,观察组采用瑞芬太尼麻醉,对照组采取传统麻醉方法。比较两组术中麻醉效果,Ramsay评分、VAS评分的变化以及术后情况。【结果】观察组孕妇麻醉优良率为98%(49/50),明显高于对照组的86%(43/50),且两组相比较差异有显著性(P<0.05)。两组产妇术后即刻Ramsay评分、VAS评分相比较差异均无显著性(P>0.05);术后24 h观察组Ramsay评分、VAS评分明显优于对照组(P<0.05)。两组新生儿动脉血气指标相比较差异均无显著性(P>0.05)。观察组3例产妇出现恶心呕吐,发生率为6%(3/50),对照组有2例出现恶心呕吐,发生率为4%(2/50),两组相比较差异无显著性(P>0.05)。【结论】瑞芬太尼对剖腹产孕妇的麻醉效果好,可以有效降低患者疼痛,同时对新生儿的血气无明显影响,有利于孕妇剖腹分娩,值得临床进一步推广。

【Objective】To explore effects of remifentanil on anesthesia,sedation score(Ramsay score)and visual analogue score(VAS score)in pregnant women undergoing caesarean section.【Methods】A total of 100 cases of caesarean section pregnant women were randomly divided into two groups.Remifentanil anesthesia was used in the observation group and the conventional anesthesia was used in the control group.The anesthesia effect,Ramsay score,VAS score and postoperative recovery of the two methods were compared between the two groups.【Results】The excellent and good rate of the observation group was 98%(49/50),which was higher than that of the control group 86%(43/50).The difference was statistically significant(P<0.05).There was no significant difference between the two groups in the immediate postoperative Ramsay score and VAS score(P>0.05).However,both Ramsay score and VAS score at 24 hours after operation in the observation group were significantly better than those in the control group(P<0.05).The neonatal arterial blood gas indicators did not show any significant difference between the two groups.Three women in the observation group had nausea and vomiting,the incidence rate was 6%(3/50),and two patients in the control group had nausea and vomiting,the incidence rate was 4%(2/50).There was no significant difference between the two groups(P>0.05).【Conclusion】Remifentanil has better anesthetic effect on caesarean section patients,which can effectively reduce the pain of patients and has no significant effect on the blood gas of newborns.Thus it is worthy of further clinical promotion.