探讨小剂量纳布啡复合罗哌卡因腰麻用于剖宫产手术的效果
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摘要
目的探究在剖宫产手术中应用小剂量纳布啡、罗哌卡因联合腰麻的应用效果。方法选取2018年1月至2018年11月我院麻醉科接收的180例剖宫产术产妇,随机分成A、B两组,各90例。A组产妇予以小剂量纳布啡+罗哌卡因,B组产妇于蛛网膜下腔注射罗哌卡因(1%)+生理盐水,比较两种麻醉方法的麻醉效果。结果 A组的感觉、运动神经阻滞起效时间均显著短于B组(P<0.05);A组的感觉、运动神经阻滞恢复时间均显著长于B组(P<0.05);A组的不良反应总发生率(5.56%)显著低于B组(15.56%),P<0.05。结论在剖宫产术中应用小剂量纳布啡复合罗哌卡因完成腰麻,可获取理想的麻醉镇痛效果,宫缩镇痛效果尤为显著,且不良反应少,可放心应用。
Objective To investigate the application of low-dose nalbuphine and ropivacaine combined with spinal anesthesia in cesarean section. Methods 180 cases of cesarean section received by the department of anesthesiology from January 2018 to November 2018 were randomly divided into A and B groups, 90 cases each. A group of women were given low-dose nalbuphine plus ropivacaine. Group B women were injected with ropivacaine(1%) + normal saline in the subarachnoid space to compare the anesthetic effects of the two anesthesia methods. Results The onset time of sensory and motor block in group A was significantly shorter than that in group B(P<0.05). The recovery time of sensory and motor block in group A was significantly longer than that in group B(P<0.05). The total incidence of adverse reactions in group A(5.56%) was significantly lower than that in group B(15.56%), P<0.05. Conclusion In the cesarean section, the application of low-dose nalbuphine combined with ropivacaine to achieve spinal anesthesia can obtain the ideal anesthetic analgesic effect, especially the effect of uterine contraction and analgesia, and less adverse reactions, can be safely applied.
Objective To investigate the application of low-dose nalbuphine and ropivacaine combined with spinal anesthesia in cesarean section. Methods 180 cases of cesarean section received by the department of anesthesiology from January 2018 to November 2018 were randomly divided into A and B groups, 90 cases each. A group of women were given low-dose nalbuphine plus ropivacaine. Group B women were injected with ropivacaine(1%) + normal saline in the subarachnoid space to compare the anesthetic effects of the two anesthesia methods. Results The onset time of sensory and motor block in group A was significantly shorter than that in group B(P<0.05). The recovery time of sensory and motor block in group A was significantly longer than that in group B(P<0.05). The total incidence of adverse reactions in group A(5.56%) was significantly lower than that in group B(15.56%), P<0.05. Conclusion In the cesarean section, the application of low-dose nalbuphine combined with ropivacaine to achieve spinal anesthesia can obtain the ideal anesthetic analgesic effect, especially the effect of uterine contraction and analgesia, and less adverse reactions, can be safely applied.
引文
[1]张珣,李志文,赵壮,等.纳布啡用于剖宫产术后硬膜外自控镇痛的临床观察[J].中国妇幼保健,2017,32(3):625-626.
[2]李洪涛,肖黎波,王剑鸣.纳布啡复合罗哌卡因在痔疮手术后镇痛的应用[J].中国当代医药,2017,24(17):117-119.
[3]陈岱莉,齐晓非,庄仁坤,等.纳布啡复合恩丹司琼预防剖宫产术蛛网膜下腔麻醉后瘙痒[J].浙江临床医学,2017,19(10):1935-1936.
[4]丁亚平,魏万鹏,和建杰.吗啡与纳布啡对剖宫产产妇术后相关指标的影响比较[J].中国药房,2017,28(21):2936-2939.
[5]李晓悦,董铁立.纳布啡联合罗哌卡因切口浸润多模式镇痛对颅脑外科手术患者全麻苏醒期躁动的影响[J].河南外科学杂志,2017,23(3):64-66.
[6]张乐,黄绍强.右美托咪定复合罗哌卡因腰麻-硬膜外麻醉用于剖宫产术的效果分析[J].中国临床医学,2014,21(2):173-175.
[7]崔志坚,王秀菊,张晓哲,等.罗哌卡因与布比卡因腰麻在剖宫产手术中的麻醉效果比较[J].中国医药导报,2016,29(18):99-100.
[8]涂文劭,郑晓春,陈江湖.罗哌卡因联合舒芬太尼腰麻-硬膜外麻醉在剖宫产手术中的应用效果[J].临床合理用药杂志,2017,10(8):62-63.
[9]纪绪师,李荣玲,朱磊.罗哌卡因腰麻在剖宫产手术中的应用效果及对孕妇生活质量的影响[J].包头医学院学报,2017,33(9):80-81.
[10]郝磊.罗哌卡因腰麻联合硬膜外麻醉在剖宫产手术中的应用效果及安全性评价[J].医药前沿,2017,7(10):149-150.
[11]万晓英,古岭梅,刘丽芬.罗哌卡因与布比卡因应用于妊娠期高血压产妇剖宫产腰麻联合硬膜外麻醉的效果比较[J].广州医药,2016,47(6):69-72.
[12]王贵罗.0.5%罗哌卡因复合舒芬太尼腰麻在剖宫产术麻醉中的应用研究[J].北方药学,2017,14(3):69.
[2]李洪涛,肖黎波,王剑鸣.纳布啡复合罗哌卡因在痔疮手术后镇痛的应用[J].中国当代医药,2017,24(17):117-119.
[3]陈岱莉,齐晓非,庄仁坤,等.纳布啡复合恩丹司琼预防剖宫产术蛛网膜下腔麻醉后瘙痒[J].浙江临床医学,2017,19(10):1935-1936.
[4]丁亚平,魏万鹏,和建杰.吗啡与纳布啡对剖宫产产妇术后相关指标的影响比较[J].中国药房,2017,28(21):2936-2939.
[5]李晓悦,董铁立.纳布啡联合罗哌卡因切口浸润多模式镇痛对颅脑外科手术患者全麻苏醒期躁动的影响[J].河南外科学杂志,2017,23(3):64-66.
[6]张乐,黄绍强.右美托咪定复合罗哌卡因腰麻-硬膜外麻醉用于剖宫产术的效果分析[J].中国临床医学,2014,21(2):173-175.
[7]崔志坚,王秀菊,张晓哲,等.罗哌卡因与布比卡因腰麻在剖宫产手术中的麻醉效果比较[J].中国医药导报,2016,29(18):99-100.
[8]涂文劭,郑晓春,陈江湖.罗哌卡因联合舒芬太尼腰麻-硬膜外麻醉在剖宫产手术中的应用效果[J].临床合理用药杂志,2017,10(8):62-63.
[9]纪绪师,李荣玲,朱磊.罗哌卡因腰麻在剖宫产手术中的应用效果及对孕妇生活质量的影响[J].包头医学院学报,2017,33(9):80-81.
[10]郝磊.罗哌卡因腰麻联合硬膜外麻醉在剖宫产手术中的应用效果及安全性评价[J].医药前沿,2017,7(10):149-150.
[11]万晓英,古岭梅,刘丽芬.罗哌卡因与布比卡因应用于妊娠期高血压产妇剖宫产腰麻联合硬膜外麻醉的效果比较[J].广州医药,2016,47(6):69-72.
[12]王贵罗.0.5%罗哌卡因复合舒芬太尼腰麻在剖宫产术麻醉中的应用研究[J].北方药学,2017,14(3):69.