摘要
目的 观察0．75％罗哌卡因硬膜外用于妇产科手术的临床效果。方法 选择72例ASAI—Ⅱ级妇产科手术随机分为两组，I组为0．75％罗哌卡因组(36例)，Ⅱ组为0.5％布比卡因组(36例)。两组均取腰1—2行硬膜外穿刺，观察两组的感觉阻滞、运动阻滞、镇痛效果及对循环呼吸的影响和不良反应。结果 两组感觉阻滞达髓的时间、切皮时VAS评分、运动恢复时间有显著性差异(P<0．05)，不良反应中寒颤的发生率I组明显比Ⅱ组少(P<0．05)。结论 0．75％罗哌卡因具有起效时间快，镇痛效果好，运动阻滞恢复早，对循环呼吸的影响小，神经毒性低的临床特点。
Objective To observe the anesthetical effect of 0.75% ropivacaine on operation of gynecology and obstetrics. Methods Seven-two patients of ASAI-Ⅱ were randomly divided into two groups. Group I(36 patients) were given 0. 75% ropivacaine and Group Ⅱ(also 36 patients) were given 0. 5% bupivacaine. Epidural puncture at II-' was performed and 10ml of 0.75% ropivacaine and 10ml of 0.5% bupivacaine were used in the two groups to observe the results of sensory blocking, motor blocking, analgesia and the impact on circulation and resipiration as well as the side effect occurred. Results There were significant differences in the two groups in terms of sensory blocking, VAS score in skin incision the recovery time of motor blocking(p < 0. 05). With regard to the side effect the rate of rigor occurred to Group I was obviously less than that in Group Ⅱ(P <. 0.05). Conclusion When cliniclly used 0.75% Ropivacaine could rapidly initiate anesthetical effect with good analgesia effect, less impact on circulation and respiration and result in early recovery of motor blocking.
出处
《中国热带医学》
CAS
2001年第1期10-11,共2页
China Tropical Medicine
