摘要
目的 分析剖宫产分娩孕妇蛛网膜下腔阻滞中低浓度盐酸罗哌卡因的应用效果。方法 选取81例剖宫产分娩孕妇,全部实施盐酸罗哌卡因蛛网膜下腔阻滞,按照用药浓度不同分为A组(40例)与B组(41例)。A组应用0.375%盐酸罗哌卡因,B组应用0.50%盐酸罗哌卡因。比较两组麻醉效果、感觉和运动阻滞情况及不良反应发生情况。结果 A组总有效率(95.00%)与B组(92.68%)比较,差异无统计学意义(P>0.05)。两组麻醉前、手术完成时心率、收缩压水平比较,差异无统计学意义(P>0.05),A组麻醉5、10 min心率、收缩压水平均高于B组,差异有统计学意义(P<0.05)。两组感觉和运动阻滞时间比较,差异无统计学意义(P>0.05),A组运动阻滞评分低于B组,差异有统计学意义(P<0.05)。A组不良反应发生率低于B组,差异有统计学意义(P<0.05)。结论 采用低浓度盐酸罗哌卡因蛛网膜下腔阻滞方法行剖宫产,麻醉效果佳并能缓解机体应激反应,减轻运动阻滞影响,降低不良反应风险。
Objective To analyze the application effect of low concentration ropivacaine hydrochloride in subarachnoid block in pregnant women with cesarean section. Methods 81 pregnant women who delivered by cesarean section were divided into group A(40 cases) and group B(41 cases) according to the concentration of ropivacaine hydrochloride subarachnoid block.Group A was treated with 0.375% ropivacaine hydrochloride and group B was treated with 0.50% ropivacaine hydrochloride. The anesthetic effect, sensory and motor block and adverse reactions were compared between the two groups. Results There was no significant difference in total effective rate between group A(95.00%) and group B(92.68%)(P>0.05). There was no significant difference in heart rate and systolic blood pressure between the two groups before anesthesia and after operation(P>0.05). Heart rate and systolic blood pressure in group A were higher than those in group B at 5 and 10 minutes after anesthesia, and the differences were statistically significant(P<0.05). There was no significant difference in sensory and motor block time between the two groups(P>0.05). The motor block score of group A was lower than that of group B, and the difference was statistically significant(P<0.05).The incidence of adverse reactions in group A was lower than that in group B, and the difference was statistically significant(P<0.05).Conclusion The method of subarachnoid block with low concentration of ropivacaine hydrochloride for cesarean section has a good anesthetic effect and can relieve the body’s stress response, reduce the influence of motor block and reduce the risk of adverse reactions.
作者
杨坤
张国林
Yang Kun;Zhang Guolin(Department of Anesthesiology,Taixing Hospital of Traditional Chinese Medicine,Taizhou 225300,China)
出处
《实用妇科内分泌电子杂志》
2021年第32期37-40,共4页
Electronic Journal of Practical Gynecological Endocrinology
关键词
麻醉阻滞
剖宫产
罗哌卡因
Anesthesia block
Cesarean sectionk
Ropivacaine
