摘要
目的评价罗哌卡因与布比卡因用于剖宫产手术硬膜外麻醉时临床麻醉效果。方法选择剖宫产术病人96例,随机分为两组。硬膜外用药:R组0.15%罗哌卡因加芬太尼3μg/ml;B组O.125%布比卡因加芬太尼3μg/ml。比较两组镇痛效果、运动阻滞效果、术后下床活动及肛门排气时间等。结果 R、B组镇痛效果优良率分别为95.8%和87.5%,差异无统计学意义;R组下肢运动神经阻滞程度评分总体低于B组,下床活动及肛门排气时间提前,差异均具有显著性(P<0.05)。结论罗哌卡因用于剖宫产手术硬膜外麻醉能够达到满意的镇痛效果,利于患者早期下床活动,增强肠蠕动,优越性明显,是布比卡因的良好替代品。
Objective To evaluate the ropivacaine and bupivacaine for epidural anesthesia for cesarean delivery of clinical anesthesia.Methods 96 cases of cesarean section patients were randomly divided into two groups,epidural anesthetic R Group：Kayin Jia 0.15% ropivacaine with fentanyl 3μg/ml;B group：O.125% bupivacaine fentanyl 3 μg/ml.Two groups were compared analgesia,motor block effects,postoperative ambulation and anal exhaust time.Results R,B group were good analgesic effect was 95.8% and 87.5%,the difference was not statistically signifi cant;R group level of lower limb motor block score below the overall group B,get out of bed early and anal exhaust time,the difference were significant（P0.05）.Conclusion Ropivacaine epidural anesthesia for cesarean delivery to achieve satisfactory analgesia,early ambulation is good for patients,enhance peristalsis,superiority obviously is a good alternative to bupivacaine.
出处
《当代医学》
2010年第33期2-3,共2页
Contemporary Medicine
关键词
罗哌卡因
布比卡因
硬膜外
剖宫产
Ropivacaine
Bupivacaine
Epidural
Cesarean section
