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目的:探讨布比卡因等比重液混合舒芬太尼或芬太尼用于剖宫产术腰硬联合麻醉效果。方法:足月剖宫产120例,随机分三组,Ⅰ组0.5%布比卡因为对照组;Ⅱ组0.5%布比卡因加舒芬太尼;Ⅲ组0.5%布比卡因加芬太尼,行腰硬联合麻醉。结果:Ⅱ组、Ⅲ组缩短了腰麻阻滞起效时间,Ⅱ组还缩短了运动阻滞起效时间。结论:剖宫产患者使用等比重布比卡因混合舒芬太尼或芬太尼后腰麻起效快、效果佳,腹肌松弛。
Objective: To investigate the effect of combined bupivacaine and sufentanil or fentanyl for combined spinal and epidural anesthesia in cesarean section. Methods: 120 cases of term cesarean section were randomly divided into three groups, group Ⅰ 0.5% bupivacaine as control group; group Ⅱ 0.5% bupivacaine plus sufentanil; group Ⅲ 0.5% bupivacaine Tai Nai, line waist and hard joint anesthesia. Results: Group Ⅱ and group Ⅲ shortened the onset time of lumbar block, and group Ⅱ also shortened the onset time of block. Conclusion: Cesarean section patients with equal proportion of bupivacaine mixed sufentanil or fentanyl posterior spinal anesthesia rapid onset, good effect, abdominal muscle relaxation.