Abstract：Objective: To explore the analgesic effect of sufentanil combined with ropivacaine in cesarean section and its effect on gastrointestinal function. Methods: 60 cases of cesarean section mothers in our hospital from April 2017 to April 2018 were selected for the study,were randomly divided into the observation group (n=32) and the control group (n=28). The control group was treated with ropivacaine for analgesia, and the observation group was treated with sufentanil combined with ropivacaine for analgesia. The time of spontaneous urination after anesthesia, the time of the first movement out of bed, the effective analgesia time, the pain score at 12h, 24h and 48h after the operation, the nursing condition, and the adverse reactions of gastrointestinal function recovery time were compared between the two groups. Results: The time of spontaneous urination and the time of getting out of bed for the first time in the observation group was significantly lower than that in the control group, and the effective analgesia time was higher than that in the control group (P<0.05). The pain scores of the observation group at 12h, 24h and 48h after surgery were significantly lower than those of the control group (P<0.05). The colostrum time in the observation group was lower than that in the control group, and the number of lactation at 24h was significantly higher than that in the control group (P<0.05). After surgery, the recovery time of bowel sound, anal exhaust time and anal defecation time in the observation group were significantly lower than those in the control group (P<0.05). The total incidence of hypotension, bradycardia, nausea and vomiting in the two groups was 9.38% and 35.71%, respectively, with statistically significant differences (P<0.05). Conclusion: Sufentanil combined with ropivacaine has obvious analgesic effect on cesarean section parturients, which can effectively improve the gastrointestinal function of patients. It is safe and effective, and worthy of promotion and application.
赵媛媛, 李菊, 王燕, 石军. 舒芬太尼复合罗哌卡因在剖宫产产妇中的镇痛效果及对胃肠道功能的影响[J]. 河北医学, 2020, 26(4): 631-634.
ZHAO Yuanyuan, LI Ju, WAN Yan, et al. Analgesic Effect of Sufentanil Combined with Ropivacaine in Cesarean Section and Its Effect on Gastrointestinal Function. HeBei Med, 2020, 26(4): 631-634.
[1] 郑均旗.罗哌卡因复合硬膜外不同剂量舒芬太尼对剖宫产产妇血流动力学及麻醉效果的影响[J].河北医学,2019,25(04):86~90. [2] 钟素霞,谢文杰,朱文燕.经阴道彩色多普勒超声在剖宫产术后子宫瘢痕妊娠诊治中的应用[J].河北医学,2017,23(4):555~558. [3] Harrison M S, Pasha O, Saleem S, et al. A prospective study of maternal, fetal and neonatal outcomes in the setting of cesarean section in low- and middle-income countries[J]. Acta Obstet Gynecol Scand, 2017, 96(4):410~420. [4] 赵峰,张雁.小剂量罗哌卡因复合舒芬太尼在剖宫产术中的效果研究[J].中国医药导刊,2017,19(1):75~76. [5] 郑均旗.罗哌卡因复合硬膜外不同剂量舒芬太尼对剖宫产产妇血流动力学及麻醉效果的影响[J].河北医学,2019,25(04):86~90. [6] 李燕,王娟,马俊旗.宫腔镜联合子宫动脉栓塞术治疗剖宫产切口瘢痕妊娠患者的效果及安全性[J].河北医药,2017,39(15):2314~2316. [7] 石宁,穆燕,柏义萍,等.介入治疗用于预防和治疗凶险型前置胎盘剖宫产的手术护理[J].护士进修杂志,2017,32(1):63~64. [8] 赵志强.舒芬太尼联合甲磺酸罗哌卡因对剖宫产手术产妇免疫功能、血流动力学和应激反应指标的影响[J].贵州医药,2017,41(5):490~492. [9] Yamaoka M, Deguchi M, Ninomiya K, et al. A suspected case of rocuronium-sugammadex complex-induced anaphylactic shock after cesarean section[J]. Journal of Anesthesia, 2017, 31(1):148~151. [10] 唐斌,余德.罗哌卡因复合舒芬太尼硬膜外麻醉对分娩产妇疼痛程度及应激状态的影响[J].空军医学杂志,2018,139(02):38~40,48. [11] 张永刚,梁浩,李红霞,等.舒芬太尼联合罗哌卡因在分娩镇痛中对产间发热的影响[J].中国实验诊断学,2017,21(12):2068~2071. [12] 孙轶娜.罗哌卡因复合舒芬太尼用于剖宫产麻醉的临床效果研究[J].中国妇幼健康研究,2017,28(S3):125.
2020, Vol. 26 
冀公网安备13080202000677号