罗哌卡因复合不同剂量芬太尼腰麻剖宫产效果分析

摘要

目的：探讨剖宫产中行罗哌卡因复合不同剂量芬太尼腰麻的临床效果。方法选取行剖宫产麻醉产妇90例随机分为A组（n=30）与B组（n=60，其中B1与B2组各30例），A组行罗哌卡因麻醉治疗，B组在其基础上施加芬太尼麻醉治疗（B1组为5μg，B2组为10μg），对比其麻醉效果。结果产妇VAS评分、镇痛持续时间、新生儿Apgar评分、手术时间、麻醉见效时间以及不良反应发生率比较， A组不及B1与B2组，除不良反应发生率外，B2组其他指标优于B1组（P＜0.05），具有统计学意义。结论剖宫产中行12 mg罗哌卡因复合10μg芬太尼腰麻后的效果显著。%Objective To study the clinical effect of cesarean section of ropivacaine with different dosage of fentanyl. Methods Selected 90 cases of pregnant women and randomly divided into group A (n=30) and group B (n=60, where B1 and B2 group with 30 cases in each group), group A received ropivacaine anesthesia treatment, group B received fentanyl on the basis of ropivacaine (group B1 5μg, B2 group 10μg), compared the effects of anesthesia. Results Maternal VAS score, duration of analgesia, neonatal Apgarscore, operation time, anesthesia effect and adverse reaction incidence time in group A were less than B1 and B2 group, in addition to the incidence of adverse reactions, other index was better than that of B1 group and B2 group (P<0.05), with statistical significance. Conclusion During cesarean section, using ropivacaine 12 mg and fentanyl 10μg for anesthesia has signiifcant effect.