摘要
目的:分析剖宫产采用腰硬联合麻醉时布比卡因的腰麻剂量。方法:选取2018年3月-2019年3月行剖宫产分娩产妇94例,随机分为两组,各47例。所有产妇均采用腰硬联合麻醉,药物均为0.5%布比卡因。对照组给予布比卡因10 mg,观察组给予布比卡因7.5 mg。比较两组麻醉效果与各项临床指标水平。结果:观察组麻醉起效时间与镇痛时间长于对照组,苏醒时间短于对照组,差异均有统计学意义(P<0.05)。两组手术时间、胎儿娩出时间与Apagr评分比较,差异无统计学意义(P>0.05)。结论:在剖宫产腰硬联合麻醉中,小剂量布比卡因即可达到理想麻醉效果,且安全性高,不会对手术进程与新生儿生命指征产生影响。
Objective:To explore the spinal anesthesia dose of bupivacaine in the combined spinal epidural anesthesia for cesarean section.Methods:From March 2018 to March 2019,94 cesarean delivery women were selected,and they were randomly divided into two groups of 47 cases in each.All parturients were anesthetized with combined spinal and epidural anesthesia,and the drug was 0.5%bupivacaine.Bupivacaine was given 10 mg in the control group and 7.5 mg in the observation group.We compared the anesthesia effect and clinical indexes of the two groups.Results:In the observation group,the onset time and analgesia time of anesthesia were longer than those of the control group,and the recovery time was shorter than that of the control group,the difference was statistically significant(P<0.05).There was no significant difference in operation time,fetal delivery time and apagr score between the two groups(P>0.05).Conclusion:In the combined spinal and epidural anesthesia of cesarean section,the ideal anesthesia effect can be achieved with a small dose of bupivacaine,and the safety is high,it will not affect the operation process and neonatal life indicators.
作者
李承乾
Li Chengqian(Department of Anesthesiology,Chongming Branch of Shanghai 10th People's Hospital,Shanghai 202157)
出处
《中国社区医师》
2020年第7期88-89,共2页
Chinese Community Doctors
关键词
剖宫产
腰硬联合麻醉
布比卡因
腰麻剂量
麻醉效果
Cesarean section
Combined spinal epidural anesthesia
Bupivacaine
Spinal anesthesia dose
Anesthesia effect
