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目的研讨剖宫产术患者采取罗哌卡因与舒芬太尼行腰硬联合麻醉的临床价值。方法 60例剖宫产术患者参与研究试验,随机分为Ⅰ组与Ⅱ组,每组30例。Ⅰ组接受罗哌卡因腰麻,Ⅱ组接受罗哌卡因复合舒芬太尼行腰硬联合麻醉。评估该两种方案的麻醉效果。结果Ⅱ组接受麻醉后,患者手术开始时的心率(HR)(100.59±8.47)次/min、收缩压(SBP)(101.38±7.25)mm Hg(1 mm Hg=0.133 k Pa)、舒张压(DBP)(61.98±6.87)mm Hg,均低于Ⅰ组(108.46±6.46)次/min、(108.75±8.18)mm Hg、(67.85±7.12)mm Hg,差异均具有统计学意义(P<0.05)。Ⅱ组的镇痛维持时间(6.15±1.04)h,长于Ⅰ组(4.01±1.28)h,差异具有统计学意义(P<0.05);两组麻药起效时间、手术时间比较差异均无统计学意义(P>0.05)。结论在剖宫产术患者行腰硬联合麻醉过程中予罗哌卡因与舒芬太尼麻醉,患者镇痛维持效果好,血液流变学更平稳,值得推荐。
Objective To study the clinical value of combined spinal and epidural anesthesia with ropivacaine and sufentanil in cesarean section patients. Methods 60 cases of cesarean section patients involved in the study were randomly divided into Ⅰ and Ⅱ group, 30 cases in each group. Group Ⅰ received ropivacaine spinal anesthesia, group Ⅱ received ropivacaine combined with sufentanil and spinal anesthesia. Evaluate the anesthetic effects of the two regimens. Results After the operation, the heart rate (HR) was 100.59 ± 8.47 / min in SBI group (101.38 ± 7.25) mm Hg (1 mm Hg = 0.133 kPa), diastolic blood pressure DBP 61.98 ± 6.87 mm Hg were significantly lower than those in group Ⅰ (108.46 ± 6.46) / min, (108.75 ± 8.18) mm Hg and (67.85 ± 7.12) mm Hg, respectively ). The duration of analgesia in group Ⅱ (6.15 ± 1.04) h was longer than that in group Ⅰ (4.01 ± 1.28) h, the difference was statistically significant (P <0.05). There was no significant difference in the onset time and operation time between the two groups Significance (P> 0.05). Conclusions In the patients with cesarean section undergoing epidural anesthesia, anesthesia with ropivacaine and sufentanil is effective. The analgesic effect is good and the hemorrheology is more stable. It is worth recommending.