舒芬太尼对剖宫产罗哌卡因蛛网膜下腔阻滞效应的影响

目的研究舒芬太尼对剖宫产罗哌卡因蛛网膜下腔阻滞效应的影响。方法选择2012年1月至2013年1月我院收治的剖宫产产妇90例，随机分为两组，对照组给予罗哌卡因15mg麻醉，实验组在对照组的基础上给予10μg舒芬太尼麻醉，对比观察两组麻醉效果（感觉阻滞时间、Bromage评分达到3分时间和OAA／S评分）。结果实验组产妇感觉阻滞时间短，Bromage评分达到3级时间短，OAA／S评分更优，与对照组比较差异有统计学意义（P〈0．05）。两组不良反应发生率差异无统计学意义（P〉0．05）。两组产妇手术中平均动脉压、心率和血氧饱和度均有所降低，与麻醉前比较差异有统计学意义（P〈0．05）；实验组产妇术中平均动脉压、心率和血氧饱和度均高于对照组，差异有统计学意义（P〈0．05）。结论舒芬太尼对剖宫产罗哌卡因蛛网膜下腔阻滞效应具有加强作用，可以起到更好的镇痛作用，且具有较高的安全性，是一种较好的麻醉方法。

Effect of sufentanil on subaraclmoid block in spinal anesthesia for cesarean section ropivacaine

Objective To study the effect of sufentanil on subarachnoid block in spinal anesthesia for cesarean section ropivacaine. Methods From January 2012 to January 2013 in our hospital, 90 cases of cesareansection were randomly divided into two groups, the control group received 15 mg of ropivacaine anesthesia, the experimental group was given 10 tx g of sufentanyl anesthesia on the basis of the control group. We compared and observed the anesthetic effect （sensory block the time to Bromage score three points and OAA/S score）. Results The maternal feeling fast blockade reached Bromage score 30AA/S score better indicators than those of the control group, the difference was statistically significant （P〈0.05）. The adverse reactions of two sets showed no significant difference（P〉0.05）. Two sets of maternal surgery had reduced mean arterial pressure, heart rate and blood oxygen saturation, and before anesthesia, the difference was statistically significant（P〈0.05）. In maternal surgery experimental group, mean arterial pressure, heart rate and blood oxygen saturation were all higher than those of the control group, the difference was statistically significant（P〈0.05）. Conclusion Sufentanil has a positive effect on the cesarean section ropivacaine subarachnoid block, which has a better analgesic effect and a high level of security, it is a better anesthesia method.