舒芬太尼在剖宫产硬膜外麻醉中的临床应用

目的分析舒芬太尼在剖宫产硬膜外麻醉中的临床应用价值。方法取本院产科2008年2月-2011年2月收治的剖宫产产妇178例,随机分为观察组与对照组各89例。对照组使用罗哌卡因进行硬膜外麻醉,观察组在对照组的基础上加用舒芬太尼,比较两组产妇的术中基本生命体征变化和术后疼痛评分情况。结果观察组产妇在麻醉中的基本生命体征情况如收缩压、舒张压、心率等明显低于对照组,两组比较差异有统计学意义（P〈0.05）;观察组产妇术后4 h的疼痛明显轻于对照组,两组比较差异有统计学意义（P〈0.05）。结论舒芬太尼可稳定剖宫产产妇的术中生命体征,减轻术后的疼痛不适,值得临床推广应用。

Clinical application of sufentanil on cesarean section in epidural anesthesia

Objective To analyze the clinical application of sufentanil on cesarean section in the epidural anesthesia.Methods 178 patients were randomly divided into observation group and control group with 89 patients in each group.The control group was given ropivacaine for epidural anesthesia,and the observation group plused sufentanil on the basis therapy of the control group.Basic changes of vital signs and postoperative pain scores were compared between the two groups.Results The basic vital signs such as systolic blood pressure,diastolic blood pressure,heart rate of the observation group were significantly lower than those of the control group（P0.05）.Postoperative pain of 4 h was significantly lighter than that of the control group,there was significant difference between the two groups（P0.05）.Conclusion Sufentanil can reduce postoperative pain and discomfort,it is worthy of clinical application.