ObjectiveTo explore clinical effect and adverse reactions of ropivacaine combined with sufentanil epidural anesthesia in cesarean section.MethodsA total of 110 maternal women with cesarean section were randomly divided into control group and observation group, with 55 cases in each group. The control group received ropivacaine epidural anesthesia, and observation group received ropivacaine combined with sufentanil epidural anesthesia. Anesthesia effect was compared in two groups.ResultsThe control group had 22 excellent cases, 23 good cases and 10 ineffective cases, with effective rate as 81.8%. The observation group had 36 excellent cases, 17 good case and 2 ineffective cases, with effective rate as 96.4%, and difference had statistical significant in two groups. The observation group had shorter drug onset time, longer pain recovery time and ambulation recovery time than control group, but differences had no statistical significant(P>0.05). The observation group had diastolic blood pressure as (62.12±8.13)mm Hg(1 mm Hg=0.133 kPa), systolic blood pressure as (102.32±7.06)mm Hg and heart beat as(101.40±7.65)times/min before surgery, which were all better than (67.68±8.29)mm Hg, (109.02±7.65)mm Hg and (109.16±6.21)times/min in control group, and the differences had statistical significance(P<0.05).ConclusionRopivacaine combined with sufentanil epidural anesthesia provides better effect than ropivacaine only in cesarean section, with good postoperation analgesic effect, and this method is also safe and reliable.%目的：探索罗哌卡因复合舒芬太尼硬膜外麻醉在剖宫产术中的临床疗效及不良反应。方法110例行剖宫产术的产妇随机分成对照组和观察组,各55例。对照组采用罗哌卡因硬膜外麻醉,观察组采用罗哌卡因复合舒芬太尼腰麻联合硬膜外麻醉。观察比较两组的麻醉效果。结果对照组优22例,良23例,差10列,优良率为81.8%；观察组优36例,良17例,差2例,优良率为96.4%,两组比较差异有统计学意义(P<0.05)；与对照组比较,观察组药物起效时间相对缩短,痛觉恢复时间及运动恢复时间有一定延长,但差异均无统计学意义(P>0.05)。手术开始时观察组舒张压(62.12±8.13)mm Hg (1 mm Hg=0.133 kPa),收缩压(102.32±7.06)mm Hg,心率(101.40±7.65)次/min明显优于对照组(67.68±8.29)mm Hg、(109.02±7.65)mm Hg、(109.16±6.21)次/min,比较差异具有统计学意义(P<0.05)。结论对子剖宫产采用罗哌卡因复合舒芬太尼腰麻联合硬膜外麻醉效果优于单独采用罗哌卡因,术后镇痛效果较好,且安全可靠。
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