Application of low dose sufentanil combined with ropivacaine in cesarean section anesthesia of pregnant women with gestational diabetes mellitus
MO Xianting
HUANG Yuqiong
FU Baojun
Abstract：Objective To observe the value of low dose sufentanil combined with ropivacaine in the anesthesia of pregnant women with gestational diabetes during cesarean section.Methods 80 pregnant women with diabetes who underwent cesarean section in Qingyuan Hospital Affiliated to Guangzhou Medical University from January 2021 to January 2022 were selected as research subjects.They were divided into control group and observation group according to the random number table method,with 40 cases in each group.The control group was anesthetized with ropivacaine.The observation group was given low dose sufentanil combined with ropivacaine anesthesia.The blood glucose level,pain degree,anesthesia indexes,neonatal Apgar score and adverse reactions were compared between the two groups at times of T0(before anesthesia),T1(10 min after anesthesia),T2(after delivery)and T3(30 min after surgery).Results There were significant differences in the degree of pain and pain levels at different time points between the two groups of postpartum women.There were significant differences in the fasting blood glucose levels among parturients,and significant differences in mean arterial pressure(MAP)and heart rate levels during different time periods.Compared with the control group,the onset time of anesthesia and the time to reach the highest block plane were significantly shortened in the observation group,and the Bromage score and the maintenance time of anesthesia were significantly increased(P<0.05).In the comparison of Apgar scores between two groups of newborns,the results showed significant differences in their relevant scoring levels at different time periods.There was no significant difference in the total incidence of adverse reactions between the observation group and the control group(P>0.05).Conclusion The use of low dose sufentanil combined with ropivacaine during cesarean section in pregnant women with gestational diabetes can achieve better anesthetic effect,obvious analgesic effect,effective stability of blood sugar index and high safety.
Keywords：gestational diabetes mellituscaesarean sectionlow dose sufentanilropivacaine
Publication Date：2024-06-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 32-37 )