探讨个性化麻醉护理对罗哌卡因腰硬联合麻醉剖宫产镇痛中的应用

曹亚楠

【摘 要】目的：分析研究个性化麻醉护理对罗哌卡因腰硬联合麻醉剖宫产镇痛中的应用效果。方法：选取本院82例罗哌卡因腰硬联合麻醉下实施剖宫产产妇开展本次研究，标本纳入时间范围为2018年02月-2019年01月，所有产妇通过数字表法进行平均分组，分别为参照组和研究组，各41例。其中给予传统常规麻醉护理的为参照组，给予个性化麻醉护理的为研究组，比较两组的镇痛效果。结果：研究组产妇的镇痛有效率显著高于参照组（P<0.05）。结论：对罗哌卡因腰硬联合麻醉下实施剖宫产产妇实施个性化麻醉护理，可促使镇痛效果得到进一步优化，有效缓解产妇疼痛状况，具有推广价值。

【关键词】个性化麻醉护理;罗哌卡因腰硬联合麻醉;剖宫产;镇痛

【中图分类号】R473.71 【文献识别码】B 【文章編号】1002-8714（2019）11-0021-01

【Abstract】Objective to analyze the effect of individualized anesthesia nursing on cesarean section analgesia with ropivacaine combined spinal and epidural anesthesia. Methods 82 parturients undergoing cesarean section under combined spinal and epidural anesthesia were selected to carry out the study. The specimens were included in the time range from February 2018 to January 2019. All parturients were divided into reference group （n = 41） and study group （n = 41）. Among them， the control group was given routine anesthetic nursing and the study group was given individualized anesthetic nursing， and the analgesic effect of the two groups was compared. Results the effective rate of analgesia in the study group was significantly higher than that in the control group （P < 0. 05）. ） Conclusion individualized anesthesia nursing for cesarean section under combined spinal and epidural anesthesia can further optimize the analgesic effect and relieve the pain status of parturients effectively， which has the value of popularizing.

【Keywords】 personalized anesthesia care; ropivacaine combined spinal and epidural anesthesia; cesarean section; analgesia

当前越来越多的产妇随着剖宫产技术的完善，又加之其不愿承受自然分娩所带的痛苦，更多的选择了剖宫产的分娩方式。在剖宫产麻醉处理中罗哌卡因腰硬联合麻醉是较为常用的一种麻醉方式，而为保证镇痛效果的最优化，需要对产妇开展更具针对性的麻醉护理干预[1]。鉴于此，本科开展了此次个性化麻醉护理对罗哌卡因腰硬联合麻醉剖宫产镇痛中的应用效果研究，报道如下。

1 资料与方法

1.1一般资料

选取本院82例罗哌卡因腰硬联合麻醉下实施剖宫产产妇开展本次研究，标本纳入时间范围为2018年02月-2019年01月，所有产妇通过数字表法进行平均分组，分别为参照组和研究组，各41例。产妇平均年龄为（31.17±2.54）岁;平均孕周为（38.72±1.26）周。上述两组一般资料的对比结果缺乏显著差异（P>0.05），无统计学意义。

1.2方法

参照组予以传统常规护理，主要是密切监测其生命体征。研……