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

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

  

  1. 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

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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

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