摘要
目的探究在剖宫产手术中应用小剂量纳布啡、罗哌卡因联合腰麻的应用效果。方法选取2018年1月至2018年11月我院麻醉科接收的180例剖宫产术产妇,随机分成A、B两组,各90例。A组产妇予以小剂量纳布啡+罗哌卡因,B组产妇于蛛网膜下腔注射罗哌卡因(1%)+生理盐水,比较两种麻醉方法的麻醉效果。结果 A组的感觉、运动神经阻滞起效时间均显著短于B组(P<0.05);A组的感觉、运动神经阻滞恢复时间均显著长于B组(P<0.05);A组的不良反应总发生率(5.56%)显著低于B组(15.56%),P<0.05。结论在剖宫产术中应用小剂量纳布啡复合罗哌卡因完成腰麻,可获取理想的麻醉镇痛效果,宫缩镇痛效果尤为显著,且不良反应少,可放心应用。
Objective To investigate the application of low-dose nalbuphine and ropivacaine combined with spinal anesthesia in cesarean section. Methods 180 cases of cesarean section received by the department of anesthesiology from January 2018 to November 2018 were randomly divided into A and B groups, 90 cases each. A group of women were given low-dose nalbuphine plus ropivacaine. Group B women were injected with ropivacaine(1%) + normal saline in the subarachnoid space to compare the anesthetic effects of the two anesthesia methods. Results The onset time of sensory and motor block in group A was significantly shorter than that in group B(P<0.05). The recovery time of sensory and motor block in group A was significantly longer than that in group B(P<0.05). The total incidence of adverse reactions in group A(5.56%) was significantly lower than that in group B(15.56%), P<0.05. Conclusion In the cesarean section, the application of low-dose nalbuphine combined with ropivacaine to achieve spinal anesthesia can obtain the ideal anesthetic analgesic effect, especially the effect of uterine contraction and analgesia, and less adverse reactions, can be safely applied.
作者
谢景明
伏彩青
XIE Jing-ming;FU Cai-qing(Hongfangzi Hospital of Jiangyin,Wuxi,Jiangsu 214400)
出处
《智慧健康》
2019年第2期123-124,共2页
Smart Healthcare
关键词
剖宫产手术
纳布啡
罗哌卡因
腰麻
Cesarean section
Nalbuphine
Ropivacaine
Lumbar anesthesia