摘要
目的观察不同麻醉药硬膜外阻滞麻醉用于剖宫产术的临床效果。方法行剖宫产术的产妇60例，随机分为两组，A组30例采用0．5％罗哌卡因麻醉，B组30例采用0．5％布比卡因麻醉，监测两组血流动力学变化，观察两组麻醉效果及不良反应。结果两组血压、心率均差异无统计学意义（均P〉0．05）；与13组比较，A组麻醉起效时间、麻醉开始至胎儿娩出时间、麻醉效果、不良反应均差异有统计学意义（t=4．347、4．528，x2=3．834、6．429，均P〈0．05）；两组新生儿Apgar评分差异无统计学意义（P〉0．05）。结论0．5％罗哌卡因用于剖宫产术麻醉，麻醉效果满意，不良反应少。
Objective To investigate the clinical effect of different local anesthetic epidural anesthesia for cesarean section. Methods 6b maternal intended to be carried out cesarean section by epidural anesthesia were randomly divided into two groups. A group（ n = 30 cases） was administrated with 0.5 % ropivacaine to anesthesia, and B group（ n = 30 eases ） was administrated with 0.5% bupivaeaine to anesthesia. The changes of hemodynarnie were monitored, and the analgesic effect and adverse reactions were observed in the two groups. Results The differences of blood pressure, heart rate had no statistical significance between the two groups （ all P 〉 0.05 ） ; Compared to B group, the anesthesia onset time, anesthesia time between the start of fetus, analgesic effect, adverse reactions of A group were significantly different （ t = 4. 347,4. 528, X2 = 3. 834,6. 429, all P 〈 0. 05 ） ; Neonatal Apgar score showed no significant differences between the two groups （ P 〉 0.05 ）. Conclusion Anesthesia with 0. 5% ropivaeaine for cesarean section had satisfactory anesthesia effect, and less adverse reactions.
出处
《中国基层医药》
CAS
2011年第13期1772-1773,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
剖宫产术
麻醉
硬膜外
布比卡因
罗哌卡因
Cesarean section
Anesthesia, epidural
Bupivacaine
Ropivaeaine
