摘要
目的分析剖宫产产妇应用小剂量盐酸罗哌卡因腰硬联合麻醉的临床效果及血流动力学的变化。方法采用随机数字表法将89例剖宫产产妇分为两组,对照组44例采用大剂量(15 mg)盐酸罗哌卡因腰硬联合麻醉,观察组45例给予小剂量(10 mg)盐酸罗哌卡因腰硬联合麻醉,对比两组产妇的麻醉效果、血流动力学指标水平变化及并发症发生率。结果观察组产妇麻醉后麻醉起效时间及肌松满意度评分均高于对照组,麻醉持续时间及苏醒时间短于对照组,差异均有统计学意义(P均<0.05);观察组产妇手术前后心率、血氧饱和度及平均动脉压无明显变化(P>0.05),对照组产妇变化明显(P<0.05),观察组产妇术后心率低于对照组,血氧饱和度高于对照组,并发症发生率(4.44%)低于对照组(20.45%),差异均有统计学意义(P均<0.05)。结论小剂量盐酸罗哌卡因能够显著降低对剖宫产产妇血流动力学的影响,麻醉效果确切,安全性高。
Objective To analyze the clinical effects of small dose of ropivacaine combined with spinal epidural anesthesia on caesarean section and its effect on hemodynamics. Methods A total of 89 puerperants of cesarean section were randomly divided into the observation group（ 45 cases） and the control group（ 44 cases）,puerperants in the control group were treated with large dose of ropivacaine hydrochloride（ 15 mg） combined spinal epidural anesthesia,and the puerperants in the observation group weretreated with small dose ropivacaine hydrochloride（ 10 mg） combined spinal epidural anesthesia. The anesthetic effects,the incidence of complications and the changes of hemodynamics index levels were compared between two groups. Results The onset time of anesthesia and muscle relaxation satisfaction scores of the puerperants in the observation group were higher than those in the control group,and the duration of anesthesia and recovery time were lower than those in the control group,the differences were significant（ P〈0. 05）; there were no significant differences in heart rate,blood oxygen saturation or mean arterial pressure in the observation group after the operation（ P〈0. 05）,and the changes in control group were obviously（ P〈0. 05）. The heart rate of the observation group was lower than that of the control group,and the oxygen saturation of the observation group was higher than that of the control group. The complication rate（ 4. 44%） was lower than that of the control group（ 20. 45%）,the differences were significant（ P〈0. 05）. Conclusions Small dose of ropivacaine can significantly reduce the hemodynamic effects of caesarean section. The effects of anesthesia are accurate and the safety is high.
作者
郑斌
Zheng Bin(Department of Anesthesiology, Maternal and Child Health Care Hospital of Puyang, Puyang 457000, Chin)
出处
《临床医学》
CAS
2018年第3期60-62,共3页
Clinical Medicine
关键词
小剂量
盐酸罗哌卡因
腰硬联合麻醉
剖宫产
血流动力学
Small dose
Ropivacaine hydrochloride
Combined spinal and epidural anesthesia
Cesarean section
Hemodynamics
