[1]郑丽娟,王清平.盐酸罗哌卡因联合舒芬太尼对剖宫产患者术后镇痛效果及血流动力学的影响[J].医学信息,2024,37(13):102-105.[doi:10.3969/j.issn.1006-1959.2024.13.020]
　Effect of Ropivacaine Hydrochloride Combined with Sufentanil on Postoperative Analgesia and Hemodynamics in Patients Undergoing Cesarean Section.Effect of Ropivacaine Hydrochloride Combined with Sufentanil on Postoperative Analgesia and Hemodynamics in Patients Undergoing Cesarean Section[J].Journal of Medical Information,2024,37(13):102-105.[doi:10.3969/j.issn.1006-1959.2024.13.020]
点击复制

盐酸罗哌卡因联合舒芬太尼对剖宫产患者术后镇痛效果及血流动力学的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年13期
页码:
102-105
栏目:
论著
出版日期:
2024-07-01

文章信息/Info

Title:
Effect of Ropivacaine Hydrochloride Combined with Sufentanil on Postoperative Analgesia and Hemodynamics in Patients Undergoing Cesarean Section
文章编号:
1006-1959（2024）13-0102-04
作者:
郑丽娟; 王清平
（1.万载县妇幼保健院麻醉科，江西 万载 336100；2.万载县中医院麻醉科，江西 万载 336100）
Author(s):
Effect of Ropivacaine Hydrochloride Combined with Sufentanil on Postoperative Analgesia and Hemodynamics in Patients Undergoing Cesarean Section
(1.Department of Anaesthesia,Wanzai County Maternal and Child Health Hospital,Wanzai 336100,Jiangxi,China;2.Department of Anaesthesia,Wanzai County Hospital of Traditional Chinese Medicine,Wanzai 336100,Jiangxi,China)
关键词:
盐酸罗哌卡因; 舒芬太尼; 剖宫产; 镇痛效果; 血流动力学
Keywords:
Ropivacaine hydrochloride; Sufentanil; Caesarean section; Analgesic effect; Hemodynamics
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2024.13.020
文献标志码:
A
摘要:
目的 研究盐酸罗哌卡因联合舒芬太尼对剖宫产患者术后镇痛效果及血流动力学的影响。方法 选取2020年10月-2023年3月万载县妇幼保健院行剖宫产的60例产妇为研究对象，采用随机数字表法分为对照组和观察组，各组30例。对照组采用舒芬太尼进行腰-硬联合麻醉，观察组在对照组基础上联合盐酸罗哌卡因进行腰-硬联合麻醉，比较两组产妇术后不同时间点疼痛评分（VAS）、血流动力学[心率（HR）、平均动脉压（MAP）]、舒适程度评分（BCS）及术后首次排气、下床活动时间、不良反应发生情况。结果 观察组术后4、12、24 h的VAS评分均低于对照组（P＜0.05）；观察组分娩后HR低于对照组，MAP高于对照组（P＜0.05）；观察组术后4、12、24 h的BCS评分均高于对照组（P＜0.05）；观察组首次排气时间、下床活动时间均短于对照组（P＜0.05）；观察组不良反应发生率为6.67%，与对照组的10.00%比较，差异无统计学意义（P＞0.05）。结论 盐酸罗哌卡因联合舒芬太尼可减轻剖宫产患者术后疼痛程度，降低对血流动力学的影响，提高产妇舒适程度，缩短首次排气时间、下床活动时间，且不良反应发生率低，是一种安全、有效的镇痛方式。
Abstract:
Objective To study the effect of ropivacaine hydrochloride combined with sufentanil on postoperative analgesia and hemodynamics in patients undergoing cesarean section.Methods A total of 60 parturients who underwent cesarean section in Wanzai County Maternal and Child Health Hospital from October 2020 to March 2023 were selected as the research objects. They were divided into control group and observation group by random number table method, with 30 parturients in each group. The control group was treated with sufentanil for combined spinal-epidural anesthesia, and the observation group was treated with ropivacaine hydrochloride for combined spinal-epidural anesthesia on the basis of the control group. The pain score (VAS), hemodynamics [heart rate (HR), mean arterial pressure (MAP)], comfort score (BCS) at different time points after operation, the first exhaust after operation, the time of getting out of bed and the occurrence of adverse reactions were compared between the two groups.Results The VAS score of the observation group at 4, 12 and 24 h after operation was lower than those of the control group (P<0.05). After delivery, the HR of the observation group was lower than that of the control group, and the MAP was higher than that of the control group (P<0.05). The BCS score of the observation group at 4, 12 and 24 h after operation was higher than those of the control group (P<0.05). The first exhaust time and ambulation time in the observation group were shorter than those in the control group (P<0.05). The incidence of adverse reactions in the observation group was 6.67%, which was compared with 10.00% in the control group, the difference was not statistically significant (P>0.05).Conclusion Ropivacaine hydrochloride combined with sufentanil can reduce the degree of postoperative pain in patients undergoing cesarean section, reduce the influence of hemodynamics, improve maternal comfort, shorten the first exhaust time and get out of bed activity time, and the incidence of adverse reactions is low. It is a safe and effective analgesic method.

参考文献/References:

[1]包代琴,谢佳,周艳,等.单纯罗哌卡因与罗哌卡因联合舒芬太尼用于二次剖宫产术后硬膜外镇痛的效果观察[J].重庆医学,2023,52(1):61-65.[2]宋爽.剖宫产术中不同剂量罗哌卡因等比重腰麻－硬膜外联合麻醉对母婴RAAS系统的影响研究[J].中国妇幼保健,2018,31(3):658-659.[3]赵影,张春雨.罗哌卡因联合舒芬太尼用于无痛分娩及对胎心监护、血气分析的影响研究[J].检验医学与临床,2017,14(19):2949-2951.[4]陶小文,龚长莲,易平洪,等.不同剂量纳布啡联合舒芬太尼用于剖宫产患者术后镇痛的疗效比较[J].江西医药,2018,53(11):1304-1306,1323.[5]邓雪峰,朱延浩,汪林,等.罗哌卡因复合右美托咪定腹横肌平面阻滞对剖宫产术后镇痛、泌乳和新生儿结局的影响[J].医学临床研究,2019,36(8):1634-1636.[6]张晓丰,宋子晨,张春璐,等.酒石酸布托啡诺复合罗哌卡因双侧腹横肌平面阻滞及腹直肌鞘阻滞对腹腔镜胆囊切除术术后疼痛控制效果的比较[J].中国实验诊断学,2021,25(1):75-76.[7]Mazy A,Gad M,Bedairy M.Preperitoneal postcesarean section bupivacaine analgesia: Comparison between dexamethasone and dexmedetomidine as adjuvants[J].Saudi J Anaesth,2018,12(2):183-189.[8]牛富国,李衔强,张彦匣,等.氢吗啡酮复合罗哌卡因用于剖宫产术后硬膜外自控镇痛效果及对血流动力学、氧化应激、内质网应激的影响[J].河北医药,2019,41(11):1623-1626,1631.[9]张俊燕,南晓娟,张卉.酒石酸布托啡诺静脉自控镇痛对初产妇剖宫产术后视觉模拟量表评分的影响[J].中国药物与临床,2020,20(20):3433-3435.[10]罗方毅,徐丹,庞波.甲磺酸罗哌卡因辅以酒石酸布托啡诺连续隐神经置管阻滞在全膝关节置换术后镇痛的临床观察[J].四川医学,2018,39(5):509-512.[11]张鹤晨,张静,蔚冬冬,等.罗哌卡因复合布托啡诺腹横肌平面阻滞对妇科腹腔镜手术患者术后镇痛及早期康复的影响[J].临床麻醉学杂志,2020,36(2):156-159.[12]吴树彪,蔡莉娜,董铁立,等.小剂量纳布啡复合罗哌卡因腰麻用于剖宫产术效果观察[J].河南外科学杂志,2018,24(2):79-80.[13]郭高锋,阮孝国,张加强.右美托咪定复合罗哌卡因腹横肌平面阻滞对剖宫产产妇术后催乳素及术后镇痛的影响[J].国际麻醉学与复苏杂志,2018,39(4):328-332.[14]聂立雄,邱全明,张其旺,等.罗哌卡因复合右美托咪定用于腹横肌平面阻滞对剖宫产术后静脉镇痛效果的影响[J].福建医药杂志,2017,39(5):29-32.[15]易红,陈小乐,黄东升,等.右美托咪定混合低浓度罗哌卡因用于腹横肌平面阻滞的有效性及安全性[J].中国现代医学杂志,2018,28(10):66-72.[16]李丹,陈琦,康宇,等.硬膜外腔注射氢吗啡酮在剖宫产术后镇痛的临床观察[J].国际麻醉学与复苏杂志,2016,37(4):310-312.[17]夏姿询,李洪喜.不同剂量罗哌卡因腰-硬联合麻醉对剖腹产孕妇血流动力学及麻醉质量的影响[J].医学信息,2022,35(21):107-109.[18]侯芝绮,万伟兰,郭鑫,等.氢吗啡酮联合罗哌卡因超声引导腹横肌平面阻滞在腰硬联合麻醉剖宫产术后镇痛效果观察[J].河南外科学杂志,2019,25(3):71-74.[19]方建胜,李城女,章启航,等.盐酸罗哌卡因联合舒芬太尼对剖腹产患者术后镇痛效果及血流动力学影响[J].中国卫生检验杂志,2019,29(11):1386-1388.

相似文献/References:

[1]侯 江.舒芬太尼联合右美托咪定用于临床麻醉的效果观察[J].医学信息,2018,31(03):144.[doi:10.3969/j.issn.1006-1959.2018.03.051]
　HOU Jiang.Clinical Observation on the Effect of Sufendate Combined with Dexlansoprazole in Clinical Anesthesia[J].Journal of Medical Information,2018,31(13):144.[doi:10.3969/j.issn.1006-1959.2018.03.051]
[2]龚立云.舒芬太尼经鼻给药与静脉给药在纤维结肠镜检查中疗效对比[J].医学信息,2018,31(06):135.[doi:10.3969/j.issn.1006-1959.2018.06.046]
　GONG Li-yun.Comparison of Efficacy of Sufentanil between Nasal and Intravenous Administration in Fibrocolonoscopy[J].Journal of Medical Information,2018,31(13):135.[doi:10.3969/j.issn.1006-1959.2018.06.046]
[3]赵 立,梁永新.瑞芬太尼联合丙泊酚应用于食道异物取出术的麻醉效果分析[J].医学信息,2018,31(11):93.[doi:10.3969/j.issn.1006-1959.2018.11.028]
　ZHAO Li,LIANG Yong-xin.Analysis of Anesthetic Effect of Remifentanil Combined with Propofol for Removal of Esophageal Foreign Body[J].Journal of Medical Information,2018,31(13):93.[doi:10.3969/j.issn.1006-1959.2018.11.028]
[4]齐佩君.小剂量舒芬太尼在剖宫产术麻醉中预防寒战和牵拉痛的临床效果观察[J].医学信息,2018,31(19):139.[doi:10.3969/j.issn.1006-1959.2018.19.042]
　QI Pei-jun.Clinical Observation of Low-dose Sufentanil in Preventing Chills and Pulling Pain in Cesarean Section Anesthesia[J].Journal of Medical Information,2018,31(13):139.[doi:10.3969/j.issn.1006-1959.2018.19.042]
[5]王振山,李艳丽,李晓娟,等.不同浓度罗哌卡因应用于分娩镇痛的临床观察[J].医学信息,2019,32(02):154.[doi:10.3969/j.issn.1006-1959.2019.02.046]
　WANG Zhen-shan,LI Yan-li,LI Xiao-juan,et al.Clinical Observation of Different Concentrations of Ropivacaine for Labor Analgesia[J].Journal of Medical Information,2019,32(13):154.[doi:10.3969/j.issn.1006-1959.2019.02.046]
[6]张 燕,王永娟.舒芬太尼复合地佐辛用于痔上黏膜环切术后自控镇痛的剂量分析[J].医学信息,2019,32(04):140.[doi:10.3969/j.issn.1006-1959.2019.04.045]
　ZHANG Yan,WANG Yong-juan.Dose Analysis of Sufentanil Combined with Dizocine for Self-controlled Analgesia after Supraorbital Mucosal Circumcision[J].Journal of Medical Information,2019,32(13):140.[doi:10.3969/j.issn.1006-1959.2019.04.045]
[7]王建华.舒芬太尼和地佐辛预防瑞芬太尼麻醉后疼痛过敏的效果比较[J].医学信息,2019,32(24):151.[doi:10.3969/j.issn.1006-1959.2019.24.054]
　WANG Jian-hua.Comparison of Sufentanil and Dezocine in Preventing Pain Allergy after Remifentanil Anesthesia[J].Journal of Medical Information,2019,32(13):151.[doi:10.3969/j.issn.1006-1959.2019.24.054]
[8]余国清.舒芬太尼应用于静脉术后镇痛及临床麻醉的效果[J].医学信息,2020,33(02):149.[doi:10.3969/j.issn.1006-1959.2020.02.045]
　YU Guo-qing.Effect of Sufentanil on Intravenous Analgesia and Clinical Anesthesia[J].Journal of Medical Information,2020,33(13):149.[doi:10.3969/j.issn.1006-1959.2020.02.045]
[9]熊开亮.丙泊酚联合舒芬太尼用于腹腔镜子宫肌瘤剔除术的麻醉效果[J].医学信息,2021,34(02):158.[doi:10.3969/j.issn.1006-1959.2021.02.044]
　XIONG Kai-liang.Anesthetic Effect of Propofol Combined with Sufentanil in Laparoscopic Myomectomy[J].Journal of Medical Information,2021,34(13):158.[doi:10.3969/j.issn.1006-1959.2021.02.044]
[10]杨晓旭.罗哌卡因联合舒芬太尼腰硬联合麻醉用于剖宫产手术的效果[J].医学信息,2021,34(11):164.[doi:10.3969/j.issn.1006-1959.2021.11.046]
　YANG Xiao-xu.Effect of Ropivacaine with Sufentanil Combined Spinal-epidural Anesthesia for Cesarean Section[J].Journal of Medical Information,2021,34(13):164.[doi:10.3969/j.issn.1006-1959.2021.11.046]
[11]周 琳.盐酸罗哌卡因联合舒芬太尼硬膜外麻醉在足月妊娠产妇无痛分娩中的临床应用效果[J].医学信息,2024,37(16):104.[doi:10.3969/j.issn.1006-1959.2024.16.023]
　ZHOU Lin.Clinical Application Effect of Ropivacaine Hydrochloride Combined with Sufentanil Epidural Anesthesia in Painless Labor of Full-term Pregnant Women[J].Journal of Medical Information,2024,37(13):104.[doi:10.3969/j.issn.1006-1959.2024.16.023]

更新日期/Last Update: 1900-01-01