摘要
目的 探讨 0 75 %罗哌卡因用于椎管内联合麻醉在剖腹产手术的安全性和可靠性。方法 选择A SAI—Ⅱ级足月妊娠产妇 40例 ,随机、双盲等分两组 :0 75 %罗哌卡因 (R组 )和 0 75 %布比卡因 (B组 ) ,用于腰麻。术中监测呼吸和循环状态 ,评估麻醉效能 ,不良反应 ,新生儿出生时Apgar评分。结果 两组产妇术中清醒合作 ,最高阻滞平面及其所需时间无差异 (P >0 0 5) ,Apgar评分相似 (P >0 0 5)。但R组感觉和运动神经阻滞起效慢 ,维持时间短 (P <0 0 5)。Bromage评分R组明显小于B组 (P <0 0 1 )。结论 0 75 %罗哌卡因用于腰麻———硬膜外联合麻醉在剖腹产手术安全有效 ,运动阻滞恢复快。
Objectives: To explore the reliability and safety of 0 75% ropivacaine for combined spinal epidural anesthesia(CSEA) for caesarean section Methods: 40 ASA physical status 1 or 2 parturients undergoing caesarean sections were randomly divided into two groups:0 75% ropivacaine (group R) and 0 75% bupivacaine (group B) for CSEA Blood pressure, heart rate and S PO 2 were monitored, quality of analgesia were assessed, and apgar score of the neonates as well as side effects wewe recorded during operation Results: The two groups were sober during operation There was no significant difference of the height of block and its duration between the two groups (P>0 05),the apgar scores of the neonates were comparable between the two groups (P>0 05), but the onset time was longer and duration of block was shorter in group R The Bromage score of the group R was obviously less than the group B (P<0 01) Conclusions: 0 75% ropivacaine for CSEA is effective and safe for both parturient and neonate, the recovery from motor block is fast
出处
《海南医学》
CAS
2002年第7期15-17,共3页
Hainan Medical Journal
