摘要
目的:观察舒芬太尼复合布比卡因应用于腰硬联合麻醉下剖腹产术后自控硬膜外镇痛的效果及对并发症的影响。方法:对60例剖腹产患者分别采取两种硬膜外术后镇痛方法,观察并比较其效果。结果:两组各时段有效按压次数比较,舒芬太尼组(S组)明显少于芬太尼组(F组)。S组的VAS评分在12 h,24 h明显低于F组(P<0.05);S组的BCS评分和Ram评分也明显高于F组(P<0.05)。S组的并发症低于F组,两组病人SPO2均保持95%以上,两组HR比较无明显差异。结论:舒芬太尼联合布比卡因以及地塞米松,效果明显高于芬太尼组,而且并发症也很少发生。应用于腰硬联合麻醉后的硬膜外自控镇痛是安全可行的。
Objective： To observe the effects and complications of Sufentanil and Bupivacaine for patient-controlled epidural analgesia（PCEF） after caesarean section with combined spinal epidural anesthesia.Methods： Two epidural anesthesia methods were randomly conducted in sixty patients undergoing caesarean section,the effects were evaluated.Results： The times of effective compression in effective control group S（Sufentanil） were lower than that of group F（Fentanyl）.VAS scores in group S were lower than that of group F at 12 hour and 24 hour（P0.05）.BCS scores and Ram scores in group S were higher than that of group F（P0.05）.Complication rate in group S was lower compared to that of group F.SPO2 was above 95% in both groups,and there was no statistic significance of HR.Conclusions： The effects of Sufentanil and Bupivacaine combined with Dexamethasone were better compared to the application of Fentanyl,and complications hardly occurred.This method is safe and feasible in PCEF.
出处
《大理学院学报（综合版）》
CAS
2011年第8期5-6,9,共3页
Journal of Dali University
关键词
腰硬联合麻醉
舒芬太尼
剖腹产
combined spinal-epidural anesthesia
Sufentanil
caesarean section
作者简介
彭丽，主治医师，主要从事麻醉医学研究。
通信作者：王兆民，副主任医师．
