摘要
目的探讨甲磺酸罗哌卡因(简称罗哌卡因)用于硬膜外术后自控镇痛的最佳浓度。方法将120例剖宫产产妇随机分为3组,分别使用0.313%罗哌卡因、0.268%罗哌卡因和0.179%罗哌卡因进行术后自控镇痛,并在术后12、24、48 h对3组产妇的镇痛效果和运动阻滞程度进行比较。结果 0.268%罗哌卡因组镇痛效果与0.313%罗哌卡因组镇痛效果比较差异无统计学意义(P>0.05),且无运动阻滞表现,与0.179%罗哌卡因组比较差异有统计学意义(P<0.05)。结论 0.268%罗哌卡因用于剖宫产产妇术后自控镇痛效果满意且不产生运动阻滞。
Objective To explore the optimal analgesic concentration of ropivacaine in the patient controlled epidural analgesia（PCEA） after caesarean section.Methods 120 puerperas of caesarean section were randomly allocated into 3 groups.The concentrations of ropivacaine in PCEA were performed as follows：0.313% ropivacaine,0.268% ropivacaine and 0.179% ropivacaine respectively.Then the analgesic effects and the movement block degree at 12,24,48 h after operation were compared among 3 groups.Results There was no statistical difference between 0.313% ropivacaine group and 0.268% ropivacaine group（P0.05） without the performance of movement blocking.But there was statistical difference between 0.268% ropivacaine group and 0.179% ropivacaine group（P0.05）.Conclusion The analgesic effect of 0.268% ropivacaine in PCEA after cesarean section is satisfactory without motor-blocking.
出处
《现代医药卫生》
2012年第1期51-51,53,共2页
Journal of Modern Medicine & Health
关键词
剖宫产
甲磺酸
罗哌卡因
术后镇痛
Ropivacaine
Caesarean section
Postoperative snalgesia
Motor block scoring
