The application of low dose fentanyl combined ropivacaine on subarachnoid block for cesarean section
10.3760/cma.j.issn.1008-6706.2011.08.007
- VernacularTitle:小剂量芬太尼复合罗哌卡因用于蛛网膜下腔阻滞麻醉的效果
- Author:
Dengfeng DING
;
Xueping ZHANG
;
Yonggong REN
- Publication Type:Journal Article
- Keywords:
Fentanyl;
Ropivacaine;
Subarachnoid block;
Cesarean section
- From:
Chinese Journal of Primary Medicine and Pharmacy
2011;18(8):1024-1025
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical efficacy and safety of low dose fentanyl combined to ropivacaine in subarachnoid block for cesarean section.Methods Eighty patients with ASA physical status Ⅰ and Ⅱscheduled to undergo cesarean section for delivery were randomly allocated to receiving spinally mixture none fentanyl ( group R),5 μg fentanyl ( group F5 ), 10 μg fentanyl ( group F10 ), and 15μg fentanyl ( group F15 ), combined with 1%ropivacaine 1 ml and 10% glucose 1 ml respectively,after combined spinal-epidural anesthesia puncture was applied at the L2～3 interspace.Heart rate, blood pressure, the onset and recovery time of the sensory and motor block,time to the highest level and the highest level of sensory block, time to the maximal extent and the maximal extent of the motor block were recorded at regular intervals.The adverse effects were sought during and after surgery.Neonatal outcome was assessed using Apgar score.Results The recovery of sensory block was prolonged significantly in group F10 and group F15 than in group R and group F5.Conclusion Ropivacaine with 10μg fentanyl is safe and effective in subarachnoid block for cesarean section.
