舒芬太尼联合罗哌卡因对剖宫产产妇的镇痛效果研究

吴宇薇; 符永强; 宫庆娟

doi:10.7619/jcmp.202015022

舒芬太尼联合罗哌卡因对剖宫产产妇的镇痛效果研究

1. 广州医科大学附属第二医院疼痛科, 广东广州, 510260;
2. 广东省深圳市坪山区妇幼保健院麻醉科, 广东深圳, 518122

基金项目:

广东省自然科学基金面上项目(2018A030313532)

详细信息

中图分类号: R614
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出版历程
- 收稿日期: 2020-05-10
- 发布日期: 2020-09-09

Analgesic effect of sufentanil combined with ropivacaine in treatment of puerperas with cesarean section

1. Department of Pain, The Second Hospital Affiliated to Guangzhou Medical University, Guangzhou, Guangdong, 510260;
2. Department of Anesthesiology, Pingshan District Maternal and Child Health Care Hospital in Shenzhen, Shenzhen, Guangdong, 518122

摘要

摘要: 目的观察舒芬太尼联合罗哌卡因对剖宫产产妇的镇痛效果。方法将100例剖宫产产妇随机分为观察组和对照组,每组50例。观察组采用舒芬太尼联合罗哌卡因镇痛,对照组采用罗哌卡因镇痛。比较2组术后2、6、12、24 h时的视觉模拟疼痛量表(VAS)评分、生活质量评分表(QOL)评分。记录2组患者按压镇痛泵次数和所用药物剂量、下肢运动神经阻滞时间、满意度情况。比较2组不良反应发生率。结果观察组患者术后2、6、12、24 h时VAS评分均低于对照组,差异有统计学意义(P<0.05)。观察组患者术后2、6、12、24 h时QOL评分均高于对照组,差异有统计学意义(P<0.05)。观察组按压镇痛泵次数和所用药物剂量、下肢运动神经阻滞时间均少于对照组,满意度评分高于对照组,差异有统计学意义(P<0.05)。观察组术后不良反应发生率为6.00%, 低于对照组的20.00%, 差异有统计学意义(P<0.05)。结论舒芬太尼联合罗哌卡因镇痛效果显著,可提高剖宫产术产妇的生活质量,且不良反应较少。
- 舒芬太尼 /
- 罗哌卡因 /
- 剖宫产 /
- 疼痛 /
- 生活质量 /
- 神经阻滞
Abstract: Objective To observe the analgesic effect of sufentanil combined with ropivacaine in treatment of puerperas with cesarean section. Methods Totally 100 puerperas with cesarean section were randomly divided into observation group and control group, with 50 cases in each group. The observation group was given sufentanil combined with ropivacaine for analgesia, while the control group was given ropivacaine for analgesia. The scores of Visual Analogue Scale(VAS)and Quality of Life(QOL)score were compared between the two groups at 2, 6, 12 and 24 h after operation. The times of pressing analgesia pump and drug dosage, duration of block for motor nerve of lower limbs and satisfaction degree were recorded in both groups. The incidence of adverse reactions was compared between the two groups. Results The VAS scores of the observation group were significantly lower than those of the control group at 2, 6, 12, 24 h after operation(P<0.05). The QOL scores of the observation group were significantly higher than those of the control group at 2, 6, 12 and 24 h after operation(P<0.05). The times of pressing analgesia pump, drug dosage and duration of block for motor nerve of lower limbs in the observation group were significantly less than those in the control group, and the score of satisfaction degree was significantly higher than that in the control group(P<0.05). The incidence of adverse reactions in the observation group was 6.00%, which was significantly lower than 20.00% in the control group(P<0.05). Conclusion Sufentanil combined with ropivacaine has a significant analgesic effect in treatment of puerperas with cesarean section, which can improve the quality of life and cause less adverse reactions.
- sufentanil /
- ropivacaine /
- cesarean section /
- pain /
- quality of life /
- nerve block

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