摘要
目的:探讨较小剂量布比卡因复合芬太尼腰麻行剖宫产术的临床效应。方法:40列行急诊剖宫产术的临产妇,随机双盲分为两组:BF组腰麻用药为布比卡因8mg加芬太尼20ug(n=20);BS组布比卡因10mg(n=20)。观察两组用药后的MAP、SBP和HR变化、新生儿APgar评分、麻醉效果及不良反应。结果:BS组MAP比BF组下降更加显著,BS组低血压发生率明显高于BF组(P<0.01);两组新生儿APgar评分无差异(P>0.05);BF组麻醉效果明显优于BS组(P<0.01);两组不良反应无明显差异。结论:较小剂量布比卡因复合芬太尼腰麻行急诊剖宫产术,麻醉效果确切,低血压发生率低且不良反应少。
Objective： To study the clinical effectiveness of lower - dose bupivacaine - fentanyl spinal anesthesia for cesarean section. Method： In this randomized, double - blind study, 40 parturient women were allocated to one of two groups： group BF, receiving 8mg bupivacaine ＋ 20ug fentanyl （n = 20） and group BS, 10mg bupivacaine （n = 20）. MAP, SBP, HR, Apgar scores of newborn, anesthetic effects and side effects were observed. Result： The decrease of MAP was greater in group BS compared with that in group BF. The incidence of hypopiesia was higher in group BS compared with that in group BF （p 〈 0.01）. There was no significant difference in the Apgar scales of newborns between the two groups （P 〉 0.05）. The effect of anesthesia in group BS was significantly better than that in group BF （p 〈 0.01）. There was no significant difference in the side effects between the two groups. Conclusion： There are better effect of anesthesia and lower incidence of hypopiesia and fewer side effects in spinal anesthesia with lower - dose bupivacaine - fentanyl for urgent cesarean section.
出处
《河北医学》
CAS
2006年第7期589-591,共3页
Hebei Medicine
关键词
布比卡因
芬太尼
腰麻
剖宫产术
Bupivacaine
Fentanyl
Spinal anesthesia
Cesarean section
