国际医药卫生导报2011，Vol.17Issue(23)：2915-2918,4.DOI:10.3760/cma.j.issn.1007-1245.2011.23.028
舒芬太尼对罗哌卡因腰麻的影响
Influence of sufentanil on lumbar anesthesia with ropivacaine
伍淑韫 1徐康清 2顾文彤 1郑凤环1
作者信息
- 1. 529000 江门市中心医院麻醉科
- 2. 510080广州,中山大学附属第一医院麻醉科
- 折叠
摘要
Abstract
Objective To observe lumbar anesthesia with sufentanil plus ropivacaine in gynecological surgery and the impact of sufentanil on ropivacaine.Methods 80 patients undergoing gynecological surgery were randomly assigned to receive 0.5％ ropivacaine of 3ml alone ( group C,n =40 ) or 0.5％ ropivacaine of 3ml plus sufentanil of 2.Sug/ml ( group S,n =40 ).The hypalgesic level,analgesic level,time of onset of sensory block,time to blockade level at T10,time to extension of analgesis to cerebral side,time of onse of motor block,maximum time to motor block,Bromage scores on motor block,cases of intraoperative increases in dosage for anaesthesia,and adverse reactions were observed and recorded.Results Time of onset of sensory block,time to blockade level at T10,time to extension of analgesis to cerebral side,and time of onse of motor block were shorter in group S than in group C.The hypalgesic level and analgesic level were higher in group S than in group C.Fewer patients needed epidural increases in analgesics or addtional intravenous analgesics in group S than in group C.Fewer adverse reactions were found in group S.Conclusions In lumbar anesthesia with sufentanil plus ropivacaine for gynecological surgery,sufentanil increases time of onset of ropivacaine,enhances analgesic and anesthetic effects of ropivacaine,and has a lower rate of adverse reactions.关键词
舒芬太尼/罗哌卡因/腰麻Key words
Sufentanil/Ropivacaine/Lumber anesthesia引用本文复制引用
伍淑韫,徐康清,顾文彤,郑凤环..舒芬太尼对罗哌卡因腰麻的影响[J].国际医药卫生导报,2011,17(23):2915-2918,4.
