利多卡因联合芬太尼应用于剖宫产硬膜外麻醉中的临床效果观察

发布时间：2018-04-12 14:13

本文选题：剖宫产 + 硬膜外麻醉　；参考：《临床医学研究与实践》2016年25期

【摘要】：目的探究剖宫产硬膜外麻醉应用利多卡因联合芬太尼的临床疗效。方法选取我院2016年2月至2016年8月接收的剖宫产产妇90例为研究对象,随机分为两组,每组45例。对照组单用利多卡因进行硬膜外麻醉,治疗组给予利多卡因联合芬太尼进行硬膜外麻醉,观察两组患者疼痛消失时间、全程麻醉药用量、麻醉阻滞有效时间、新生儿Apgar评分及不良反应发生情况。结果治疗组患者疼痛消失时间明显短于对照组,麻醉阻滞有效时间明显长于对照组,差异具有统计意义(P0.05);治疗组患者利多卡因用药剂量显著低于对照组(P0.05);治疗组患者不良反应发生率为8.89%,低于对照组的24.44%,差异具有统计学意义(P0.05);治疗组新生儿1 min与5 min Apgar评分与对照组比较,差异均无统计学意义(P0.05)。结论对剖宫产产妇联合应用利多卡因与芬太尼进行硬膜外麻醉相较于单用利多卡因,不仅疼痛消失快、并发症少且麻醉阻滞有效时间较长,值得临床应用与推广。
[Abstract]:Objective to investigate the clinical effect of lidocaine combined with fentanyl in epidural anesthesia for cesarean section.Methods 90 cases of cesarean section received by our hospital from February 2016 to August 2016 were randomly divided into two groups, 45 cases in each group.The control group was treated with lidocaine alone and the treatment group was given lidocaine combined with fentanyl for epidural anesthesia. The time of pain disappearance, the amount of anesthetic and the effective time of anesthesia block were observed in the two groups.Neonatal Apgar score and adverse reactions.Results the time of pain disappearance in the treatment group was significantly shorter than that in the control group, and the effective time of anesthesia block was significantly longer than that in the control group.The dosage of lidocaine in the treatment group was significantly lower than that in the control group (P 0.05), the incidence of adverse reactions in the treatment group was 8.89, which was lower than that in the control group (24.44%), the difference was statistically significant (P 0.05); the neonatal min in the treatment group was significantly lower than that in the control group (P 0.05).5 the min Apgar score was compared with that of the control group.The difference was not statistically significant (P 0.05).Conclusion compared with lidocaine and fentanyl combined epidural anesthesia for cesarean section women, the pain disappears quickly, the complications are less and the effective time of anesthesia block is longer, which is worthy of clinical application and popularization.
【作者单位】：澄城县医院;
【分类号】：R614.42

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