摘要
目的探讨快速康复外科(enhanced recovery after surgery,ERAS)理念下盐酸罗派卡因腰麻在剖宫产术中的应用。方法120例剖宫产患者,随机数字表法分为盐酸罗哌卡因腰麻组(L组)和盐酸布比卡因腰麻组(R组),各60例,对麻醉效果和不良反应进行统计分析。结果感觉阻滞平面达T10的起效时间上L组>R组,运动阻滞Bromage评分为3分维持时间L组<R组,差异有统计学意义(P<0.05),围术期并发症比较,差异有统计学意义(P<0.05)。结论盐酸罗哌卡因腰麻在剖宫产术患者中的应用安全舒适,利于患者术后恢复,缩短住院时间,降低医疗费用。符合ERAS理念,值得在产科椎管内麻醉中推广应用。
Objective To investigate the application of Rocaine hydrochloride in the concept of rapid rehabilitation surgery(enhanced recovery after surgery,ERAS).Methods In 120 patients with cesarean section,randomized digital table was divided into ropivaccaine hydrochloride group(L group)and bubicaine hydrochloride group(R group),60 each,and anesthesia effects and adverse effects were analyzed.Results Group L,>R at starting time up to T10,Bromage score of 3 points maintenance time,L,statistical difference(P<0.05),perinatal complications(P<0.05).Conclusion The application of ropivacaine hydrochloride in cesarean section patients is safe and comfortable,conducive to postoperative recovery,shorten hospital time and reduce medical expenses.In line with the ERAS concept,it is worth popularizing and applying in obstetric internal spinal anesthesia.
作者
石祖安
周炜
康爱民
Shi Zu-an;Zhou Wei;Kang Ai-min(Department of Anesthesiology,Nanchong Central Hospital,Nanchong,Sichuan 637000)
出处
《实用妇科内分泌电子杂志》
2020年第3期1-2,共2页
Electronic Journal of Practical Gynecological Endocrinology
关键词
ERAS
罗哌卡因
布比卡因
腰麻
剖宫产
ERAS
pivacaine
bubicaine
lumbar anesthesia
Cesarean section
