布比卡因复合舒芬太尼蛛网膜下隙阻滞剖宫产术的临床分析(1)
[摘要]目的 分析布比卡因复合舒芬太尼蛛网膜下隙阻滞剖宫产术的临床价值。方法 选择2015年1月～2016年1月在我院实施剖宫产术的50例产妇为研究对象，按不同的麻醉方法分为研究组和对照组，每组25例。研究组予以布比卡因复合舒芬太尼蛛网膜下隙阻滞，对照组予以单纯的布比卡因，比较两组产妇的不良反应发生情况、麻醉效果和新生儿Apgar评分情况。结果 研究组产妇的不良反应总发生率为8.00%，低于对照组的28.00%，差异有统计学意义(P<0.05)。研究组产妇的麻醉总优良率明显优于对照组，差异有统计学意义(P<0.05)。两组新生儿Apgar评分比较，差异无统计学意义(P>0.05)。结论 在剖宫产术中，实施布比卡因复合舒芬太尼蛛网膜下隙阻滞可以有效降低产妇的不良反应发生率，提高麻醉效果，且不会对新生儿造成严重影响，具有显著的临床价值，值得临床推广应用。
[关键词]布比卡因；舒芬太尼；蛛网膜下隙阻滞；剖宫产术
[中图分类号] R614.4 [文献标识码] A [文章编号] 1674-4721(2017)02(c)-0053-03
Clinical analysis of Bupivacaine combined with Sufentanil for subarachnoid block in cesarean section
CHEN Meng-meng
Department of Anesthesia，Jiangxi Maternal and Child Health Care Hospital，Nanchang 330006，China
[Abstract]Objective To analyze the clinical value of Bupivacaine combined with Sufentanil for subarachnoid block in cesarean section.Methods 50 cases of parturients underwent cesarean section in our hospital from January 2015 to January 2016 were selected as research object and divided into study group and control group according to different methods of anesthesia，25 cases in each group.The study group received Bupivacaine combined with Sufentanil for subarachnoid block in cesarean section，the control group was given simple Bupivacaine for subarachnoid block in cesarean section，the incidence of adverse reactions，anesthetic effect and neonatal Apgar score of two groups were compared.Results The total incidence rate of adverse reactions was 8.00% in the study group，which was lower than that in the control group (28.00%)，and the difference was statistically significant (P<0.05).The anesthesia total superior rate of the study group was significantly better than that of the control group，and the difference was statistically significant (P<0.05).There was no significant difference in neonatal Apgar score between two groups (P>0.05).Conclusion In cesarean section，the implementation of Bupivacaine combined with Sufentanil in subarachnoid block has significant clinical value，which can effectively reduce the incidence rate of maternal adverse reactions and improve the anesthetic effect，and will not cause serious neonatal effects，it is worthy of clinical promotion.
[Key words]Bupivacaine；Sufentanil；Subarachnoid block；Cesarean section對需要尽早进行终止妊娠的产妇而言，实施急诊的剖宫产术是十分必要的，这同时也要求了在实施过程中麻醉药物和方式必须起效迅速和麻醉效果确切，以此为胎儿的娩出赢得时间，在最大程度上保证母婴健康[1]。蛛网膜下隙阻滞麻醉是一种相对最佳的方式，但是据相关研究显示，该种方式容易在术中使产妇发生低血压、恶心、呕吐等不良反应，具有不良反应发生率较高的特点[2]。本文分析布比卡因复合舒芬太尼蛛网膜下隙阻滞在剖宫产术中的临床价值，现报道如下。 (陈蒙蒙)
[关键词]布比卡因；舒芬太尼；蛛网膜下隙阻滞；剖宫产术
[中图分类号] R614.4 [文献标识码] A [文章编号] 1674-4721(2017)02(c)-0053-03
Clinical analysis of Bupivacaine combined with Sufentanil for subarachnoid block in cesarean section
CHEN Meng-meng
Department of Anesthesia，Jiangxi Maternal and Child Health Care Hospital，Nanchang 330006，China
[Abstract]Objective To analyze the clinical value of Bupivacaine combined with Sufentanil for subarachnoid block in cesarean section.Methods 50 cases of parturients underwent cesarean section in our hospital from January 2015 to January 2016 were selected as research object and divided into study group and control group according to different methods of anesthesia，25 cases in each group.The study group received Bupivacaine combined with Sufentanil for subarachnoid block in cesarean section，the control group was given simple Bupivacaine for subarachnoid block in cesarean section，the incidence of adverse reactions，anesthetic effect and neonatal Apgar score of two groups were compared.Results The total incidence rate of adverse reactions was 8.00% in the study group，which was lower than that in the control group (28.00%)，and the difference was statistically significant (P<0.05).The anesthesia total superior rate of the study group was significantly better than that of the control group，and the difference was statistically significant (P<0.05).There was no significant difference in neonatal Apgar score between two groups (P>0.05).Conclusion In cesarean section，the implementation of Bupivacaine combined with Sufentanil in subarachnoid block has significant clinical value，which can effectively reduce the incidence rate of maternal adverse reactions and improve the anesthetic effect，and will not cause serious neonatal effects，it is worthy of clinical promotion.
[Key words]Bupivacaine；Sufentanil；Subarachnoid block；Cesarean section對需要尽早进行终止妊娠的产妇而言，实施急诊的剖宫产术是十分必要的，这同时也要求了在实施过程中麻醉药物和方式必须起效迅速和麻醉效果确切，以此为胎儿的娩出赢得时间，在最大程度上保证母婴健康[1]。蛛网膜下隙阻滞麻醉是一种相对最佳的方式，但是据相关研究显示，该种方式容易在术中使产妇发生低血压、恶心、呕吐等不良反应，具有不良反应发生率较高的特点[2]。本文分析布比卡因复合舒芬太尼蛛网膜下隙阻滞在剖宫产术中的临床价值，现报道如下。 (陈蒙蒙)