0.15%罗哌卡因复合芬太尼用于剖宫产术后硬膜外镇痛
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【摘要】目的:观察0.15%罗哌卡因复合芬太尼用于剖宫产术后硬膜外镇痛。方法:选择80例ASAⅠ～Ⅱ级,硬膜外阻滞效果满意的剖宫产手术后病人,保留硬膜外导管行术后镇痛,随机双盲法分为2组,每组40例。A组:0.15%罗哌卡因;B组:0.15%罗哌卡因+芬太尼2ug/ml。观察术后2h、4h、8h、12h、24h各时间段VAS评分、副作用及感觉运动分离阻滞程度,呼吸抑制、恶心、呕吐、皮肤瘙痒、低血压等不良反应和追加使用吗啡及PECA按压情况。结果B组安静和咳嗽时VAS评分明显低于A组(P<0.05);B组PECA按压次数显著少于A组(P<0.01),追加吗啡剂量也显著低于A组(P<0.01)。
【关键词】剖宫产术后;硬膜外;镇痛;罗哌卡因;芬太尼
after 0.15% Luo pai Kain compound Fentaini uses in the c-section technique, outside the hard membrane eases the pain
Li Luoyan
【Abstract】Objective: After observing 0.15% Luo pai Kain compound Fentaini uses in the c-section technique, outside the hard membrane to ease the pain. Methods: Chooses 80 example ASAⅠ~ⅡThe level, outside after the hard membrane hinders the effect satisfactory c-section surgery the patient, after retaining outside the hard membrane the drive pipe good technique eases the pain, stochastic double blind method divides into 2 groups, each group of 40 examples ......
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