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

doi:10.3969/j.issn.1006-6233.2020.04.024

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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.

Key words： Cesarean section Sufentanil Ropivacaine Analgesic effect Gastrointestinal function

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	ZHAO Yuanyuan
	LI Ju
	WAN Yan
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Cite this article:

ZHAO Yuanyuan,LI Ju,WAN Yan, et al. Analgesic Effect of Sufentanil Combined with Ropivacaine in Cesarean Section and Its Effect on Gastrointestinal Function[J]. HeBei Med, 2020, 26(4): 631-634.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2020.04.024 OR http://www.hbyxzzs.cn/EN/Y2020/V26/I4/631

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