摘要
目的:探究剖宫产孕妇应用罗哌卡因腰-硬联合麻醉对其血流动力学以及麻醉质量产生的影响。方法:收治剖宫产产妇121例,随机分两组。对比组将1.5 mL 1%罗哌卡因注入产妇蛛网膜下腔中,探究组将10μg芬太尼与1 mL0.75%罗哌卡因注入产妇蛛网膜下腔中。结果:麻醉后探究组产妇SpO_2、HR、DBP、SBP明显优于对比组产妇,差异有统计学意义(P<0.05)。两组产妇运动阻滞见效时间、运动最大阻滞程度、感觉阻滞见效时间以及感觉最大阻滞平面差异均有统计学意义(P<0.05)。结论:对剖宫产孕妇应用罗哌卡因腰-硬联合麻醉能够提升麻醉质量并具有稳定产妇血流动力学的效果。
Objective：To investigate the effect of ropivacaine combined with lumbar epidural anesthesia on hemodynamics and anesthesia quality of pregnant women with caesarean section.Methods：121 cases of puerperants with caesarean section were admitted to the two groups at random.In the contrast group,1.5 mL 1% ropivacaine was injected into the subarachnoid cavity of the parturient.The study group injected 10 g fentanyl and 1 mL 0.75% ropivacaine into the subarachnoid space in the subarachnoid cavity.Results：After anaesthesia,the SpO2,HR,DBP and SBP of the puerperants in the study group were obviously superior to those of the contrast group,and the difference was statistically significant（P〈0.05）.There were significant differences in the effective time of exercise block,the maximal exercise block,the time of sensory block and the maximum sensory block level between groups（P〈0.05）.Conclusion：The use of ropivacaine combined with lumbar epidural anesthesia for caesarean section can improve the quality of anesthesia and stabilize the hemodynamic effect of puerperants.
作者
赵美贤
Zhao Meixian(The First People’s Hospital of Xuanwei City（Yunnan Province）,655400)
出处
《中国社区医师》
2018年第17期51-52,共2页
Chinese Community Doctors
