摘要
目的分析小剂量盐酸罗哌卡因腰-硬联合麻醉对剖宫产孕妇血流动力学及麻醉质量的影响。方法选取2022年1月-2023年1月在我院进行剖宫产分娩的68例产妇为研究对象,采用随机数字表法分为对照组和观察组,各34例。对照组采用正常剂量盐酸罗哌卡因行腰-硬联合麻醉,观察组采用小剂量盐酸罗哌卡因行腰-硬联合麻醉,比较两组麻醉质量(麻醉阻滞评分、感觉阻滞起效时间、运动阻滞起效时间、麻醉平面固定时间)、不同时间点(麻醉前、麻醉后10 min、手术结束后)血流动力学指标[血氧饱和度(SpO_(2))、平均动脉压(MAP)、心率(HR)]、不同时间点(术后2、6、24 h)疼痛(VAS)评分及不良反应发生率。结果观察组麻醉阻滞评分、感觉阻滞起效时间、运动阻滞起效时间与对照组比较,差异无统计学意义(P>0.05),观察组麻醉平面固定时间长于对照组(P<0.05);两组麻醉后10 min SpO_(2)均低于麻醉前,MAP、HR均高于麻醉前,且观察组SpO_(2)高于对照组,MAP、HR低于对照组(P<0.05);手术结束后,两组SpO_(2)均升高,MAP、HR均降低,但观察组SpO_(2)高于对照组,MAP、HR低于对照组(P<0.05);术后2 h,观察组VAS评分与对照组比较,差异无统计学意义(P>0.05),术后6、24 h,观察组VAS评分低于对照组(P<0.05);观察组不良反应发生率低于对照组(P<0.05)。结论小剂量盐酸罗哌卡因腰-硬联合麻醉对剖宫产孕妇血流动力学及麻醉质量均具有积极的影响,能减小血流动力学波动,减轻产妇术后疼痛,降低不良反应发生率,且可实现基本一致的麻醉质量,具有更显著的临床应用优势。
Objective To investigate the effect of low-dose ropivacaine hydrochloride combined spinal-epidural anesthesia on hemodynamics and anesthesia quality in pregnant women undergoing cesarean section.Methods A total of 68 parturients who underwent cesarean section in our hospital from January 2022 to January 2023 were selected as the research objects.They were divided into control group and observation group by random number table method,with 34 parturients in each group.The control group was treated with normal dose of ropivacaine hydrochloride for combined spinal-epidural anesthesia,and the observation group was treated with low dose of ropivacaine hydrochloride for combined spinal-epidural anesthesia.The anesthesia quality(anesthesia block score,sensory block onset time,motor block onset time,anesthesia plane fixation time),hemodynamic indexes[oxygen saturation(SpO_(2)),mean arterial pressure(MAP),heart rate(HR)]at different time points(before anesthesia,10 min after anesthesia,after operation),pain(VAS)score at different time points(2,6,24 h after operation)and incidence of adverse reactions were compared between the two groups.Results There were no significant difference in anesthesia block score,sensory block onset time and motor block onset time between the observation group and the control group(P>0.05).The fixed time of anesthesia plane in the observation group was longer than that in the control group(P<0.05).At 10 min after anesthesia,SpO_(2) in the two groups was lower than that before anesthesia,MAP and HR were higher than those before anesthesia,and SpO_(2) in the observation group was higher than that in the control group,MAP and HR were lower than those in the control group(P<0.05).After the operation,SpO_(2) increased,MAP and HR decreased in both groups,but SpO_(2) in the observation group was higher than that in the control group,and MAP and HR were lower than those in the control group(P<0.05).At 2 h after operation,there was no significant difference in VAS score between the observation group and t
作者
杨蕾
巩晓洁
YANG Lei;GONG Xiao-jie(Department of Anesthesia,Tianjin Second Hospital,Tianjin 300000,China)
出处
《医学信息》
2024年第13期98-101,共4页
Journal of Medical Information
关键词
盐酸罗哌卡因
腰-硬联合麻醉
剖宫产
血流动力学
麻醉质量
Ropivacaine hydrochloride
Combined spinal-epidural anesthesia
Cesarean section
Hemodynamics
Anesthesia quality
