| 舒芬太尼在腰硬联合麻醉下剖腹产术后硬膜外镇痛中的应用 |
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| 引用本文： | 彭丽,戴华,寸待文,金有明,王兆民.舒芬太尼在腰硬联合麻醉下剖腹产术后硬膜外镇痛中的应用[J].大理学院学报,2011,10(8):5-6,9. |
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| 作者姓名： | 彭丽 戴华 寸待文 金有明 王兆民 |
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| 作者单位： | 1. 德宏州芒市市医院麻醉科,云南芒市,678400
2. 上海交通大学附属第一人民医院,上海,200086 |
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| 摘 要： | 目的:观察舒芬太尼复合布比卡因应用于腰硬联合麻醉下剖腹产术后自控硬膜外镇痛的效果及对并发症的影响。方法:对60例剖腹产患者分别采取两种硬膜外术后镇痛方法,观察并比较其效果。结果:两组各时段有效按压次数比较,舒芬太尼组(S组)明显少于芬太尼组(F组)。S组的VAS评分在12 h,24 h明显低于F组(P<0.05);S组的BCS评分和Ram评分也明显高于F组(P<0.05)。S组的并发症低于F组,两组病人SPO2均保持95%以上,两组HR比较无明显差异。结论:舒芬太尼联合布比卡因以及地塞米松,效果明显高于芬太尼组,而且并发症也很少发生。应用于腰硬联合麻醉后的硬膜外自控镇痛是安全可行的。
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| 关 键 词： | 腰硬联合麻醉 舒芬太尼 剖腹产 |
Application of Sufentanil for Epidural Analgesia after Caesarean Section with Combined Spinal Epidural Anesthesia |
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| PENG Li,DAI Hua,CUN Daiwen,JIN Youming,WANG Zhaomin.Application of Sufentanil for Epidural Analgesia after Caesarean Section with Combined Spinal Epidural Anesthesia[J].Journal of Dali University,2011,10(8):5-6,9. |
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| Authors: | PENG Li DAI Hua CUN Daiwen JIN Youming WANG Zhaomin |
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| Institution: | PENG Li1,DAI Hua1,CUN Daiwen1,JIN Youming1,WANG Zhaomin2(1.Department of Anesthesiology,Mangshi People's Hospital,Mangshi,Yunnan 678400,China,2.Department of Anesthesiology,First Affiliated Hospital of Shanghai Jiao Tong University,Shanghai 200086,China) |
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| Abstract: | Objective: To observe the effects and complications of Sufentanil and Bupivacaine for patient-controlled epidural analgesia(PCEF) after caesarean section with combined spinal epidural anesthesia.Methods: Two epidural anesthesia methods were randomly conducted in sixty patients undergoing caesarean section,the effects were evaluated.Results: The times of effective compression in effective control group S(Sufentanil) were lower than that of group F(Fentanyl).VAS scores in group S were lower than that of group... |
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| Keywords: | combined spinal-epidural anesthesia Sufentanil caesarean section |
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