目的 观察舒芬太尼联合小剂量罗哌卡因在行腰硬联合麻醉剖宫产术中的临床效果.方法 2012年7-12月我院收治的行腰硬联合麻醉剖宫产术的202例患者,随机分为对照组和观察组,对照组98例采用罗哌卡因进行麻醉,观察组104例采用舒芬太尼联合小剂量罗哌卡因进行麻醉,比较两组的临床疗效.结果 观察组达到0级最佳麻醉镇痛效果的例数占63.46%,最差麻醉镇痛效果的例数占0.96%,与对照组比较差异具有统计学意义,P<0.05.麻醉前和麻醉后30 min,观察组平均动脉压明显高于对照组,两组比较差异具有统计学意义,P<0.05.结论 行腰硬联合麻醉剖宫产术中,舒芬太尼联合小剂量罗哌卡因较单纯使用罗哌卡因有更好的临床效果.%Objective To observe the clinical effect of sufentanil combined with low dose ropivacain on spinal-epidural anesthesia cesarean section. Methods 202 cases of patients with spinal-epidural anesthesia cesarean section in our hospital from July 2012 to December 2012 were divided into control group and observation group,98 patients in control group adopted ropivacain for anesthesia, while 104 patients in observation group adopted sufentanil combined with low dose ropivacain for anesthesia. The clinical effect of the two groups was compared. Results The number of patients who occurred 0 level best anesthesia analgesic effect in observation group account for 63. 46% ,the number of patients who occurred the worst anesthesia analgesic effect account for 0. 96% , significant differences were observed between the two groups( P < 0. 05 ). The mean arterial pressure of observation group was obviously higher than that of control group at 30 min before and after anesthesia( P <0. 05 ). Conclusion Sufentanil combined with low dose ropivacain on spinal-epidural anesthesia cesarean section is better than ropivacain only.
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