舒芬太尼在腰硬联合麻醉下剖腹产术后硬膜外镇痛中的应用

J4 ›› 2011, Vol. 10 ›› Issue (8): 5-6.

舒芬太尼在腰硬联合麻醉下剖腹产术后硬膜外镇痛中的应用

1. 德宏州芒市市医院麻醉科，云南芒市 678400；2.上海交通大学附属第一人民医院，上海 200086

收稿日期:2011-04-29 修回日期:2011-06-22 出版日期:2011-08-15 发布日期:2011-08-15
作者简介:彭丽，主治医师，主要从事麻醉医学研究.

Application of Sufentanil for Epidural Analgesia after Caesarean Section with Combined Spinal Epidural Anesthe

1.Department of Anesthesiology, Mangshi People's Hospital, Mangshi, Yunnan 678400, China;
2.Department of Anesthesiology, First Affiliated Hospital of Shanghai Jiao Tong University, Shanghai 200086, China

Received:2011-04-29 Revised:2011-06-22 Online:2011-08-15 Published:2011-08-15

摘要/Abstract

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。

关键词: 腰硬联合麻醉, 舒芬太尼, 剖腹产

Abstract:

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（P<0.05）. BCS scores and Ram scores in group S were higher than that of group F（P<0.05）. 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.

Key words: combined spinal-epidural anesthesia, Sufentanil, caesarean section

中图分类号:

R614.4+1

彭丽, 戴华, 寸待文, 金有明, 王兆民. 舒芬太尼在腰硬联合麻醉下剖腹产术后硬膜外镇痛中的应用[J]. J4, 2011, 10(8): 5-6.

PENG Li, DAI Hua, CUN Dai-Wen, JIN You-Ming, WANG Zhao-Min. Application of Sufentanil for Epidural Analgesia after Caesarean Section with Combined Spinal Epidural Anesthe[J]. J4, 2011, 10(8): 5-6.