目的:探讨舒芬太尼在剖宫产手术麻醉中的临床应用效果.方法:选取剖宫产手术的产妇100例,随机分成对照组和观察组,每组50例.在剖宫产中对照组产妇使用2ml 0.75％ 盐酸罗哌卡因注射液和1ml的10％ 葡萄糖溶液进行麻醉,在对照组的基础上观察组加入5μg枸橼酸舒芬太尼注射液进行麻醉,观察并比较两组产妇在剖宫产手术过程中的寒战及牵拉痛发生情况.结果:观察组产妇寒战发生率为22.0％,远低于对照组的62.0％(P<0.05);观察组产妇牵拉痛发生率为14.0％,低于对照组的72.0％(P<0.05).临床疗效评价显示舒芬太尼治疗效果明显优于盐酸罗哌卡因.结论:舒芬太尼在剖腹产麻醉中能够降低剖宫产中产妇的寒战和牵拉痛的发生率,明显改善产妇牵拉痛程度,临床疗效显著,安全可靠.%Objective :To investigate the clinical effect of sufentanil in cesarean section anesthesia .Methods :100 patients with cesarean section were enrolled in this study .They were divided into observation group (n = 50) and control group (n = 50) .The patients were treated with ropivacaine hydrochloride in the control group ,while the patients were treated with sufentanil in the observation group .The clinical efficacy of the two groups of patients were compared and analyzed .Results :The incidence of shivering in the observation group was 22％ ,which was much lower than that of the control group of 62％ (P< 0 .05) .The incidence of traction pain in the observation group was 14％ ,which was lower than that of the control group of 72％ (P< 0 .05) .The clinical curative effect evaluation shows that sufentanil treatment effect was significantly better than ropivacaine hydrochloride method .Conclusion :Sufentanil in cesarean section anesthesia can reduce the incidence of chill and traction pain in cesarean section ,signifi-cantly improve the degree of maternal traction pain ,the clinical effect is significant ,safe and reliable .
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