摘要
目的：探讨小剂量罗哌卡因腰-硬联合麻醉于剖腹产手术的可行性及安全性。方法：选择40例产科手术病人，ASAⅠ-Ⅱ级，随机分为硬膜外麻醉（CEA）组和腰-硬联合麻醉（CSEA）组，每组20例，观察各组起效时间、阻滞平面、镇痛和肌松效果，术中血压变化及牵拉反应的有无。结果：CSEA组比CEA组麻醉起效快。镇痛及肌松效果好，牵拉反应少；术中血流动力学变化无显著性差异。结论：小剂量罗哌卡因CSEA可安全地应用于剖宫产手术病人。
Objective ： To evaluate a little dose of Ropivacaine the clinical efficacy and safety of combined spinal and epidural anesthesia for C - sect compared with continuous epidural anesthesia. Method ： Forty C - sect operation patients with ASA Ⅰ-Ⅱ were randomly divided into epidural anesthesiat group and combined spinal and epidural anesthesia group of 20 patients each. The onset time,sensory block level,quality of analgesia and abdominal wall relaxation were assessed, the changes of blood pressure and drag reaction were recorded. Result：The onset time of sensory block was shorter in CSEA group than that in CEA group, without drag reaction in CSEA , the hemedynamic changes were similar in two groups. Conclusion： a little dose of Ropivacaine combined spinal epidural anesthesia is effective and safe method for C - sect operation patients.
出处
《河北医学》
CAS
2006年第4期317-319,共3页
Hebei Medicine
关键词
罗哌卡因
腰-硬联合麻醉
硬膜外麻醉
剖宫产
Ropivacaine
Combined spinal and epidural anesthesia
Continuous epidural anesthesia
Cesarean section
