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目的:探讨地佐辛复合罗哌卡因在剖宫产术后硬膜外镇痛中的临床效果。方法:选择清远市妇幼保健院收治的40例剖腹产术后硬膜外疼痛患者,将患者分为对照组与观察组,对照组使用0.01%吗啡加0.2%罗哌卡因作为镇痛液,观察组使用0.01%地佐辛加0.2%罗哌卡因作为镇痛液,采用负荷量加持续剂量给药模式,持续剂量背景流速2 m L·h~(-1),比较两组患者的镇痛效果。结果:观察组格拉斯哥(GCS)评分、不良反应发生率低于对照组,8 h点的视觉模拟评分(VAS)评分高于对照组,Ramesay评分无明显差异。结论:对剖宫产术后硬膜外疼痛患者应用地佐辛复合罗哌卡因镇痛效果显著,副作用小,安全性高。
Objective: To investigate the clinical effect of dezocine compound ropivacaine in post-cesarean epidural analgesia. Methods: 40 cases of epidural pain after caesarean section were treated in Qingyuan MCH hospital. The patients were divided into control group and observation group. The control group was treated with 0.01% morphine plus 0.2% ropivacaine as analgesic solution. The patients were given 0.1% dezocine plus 0.2% ropivacaine as analgesic solution. The sustained-loading dose rate was 2 m L · h ~ (-1). The patients in the two groups were compared Pain effect. Results: The Glasgow (GCS) score in the observation group was lower than that in the control group. The score of Visual Analogue Scale (VAS) at 8 h was higher than that of the control group. There was no significant difference in Ramesay score. Conclusion: The application of dezocine compound ropivacaine in patients with epidural pain after cesarean section has significant analgesic effect, little side effect and high safety.