摘要
目的探究小剂量盐酸罗哌卡因腰-硬联合麻醉对剖腹产产妇麻醉效果及血流动力学的影响。方法选择2015年2月至2016年7月我院收治的94例行剖腹产产妇,随机分为两组,各47例。对照组实施1.5ml的1%盐酸罗哌卡因麻醉,观察组实施1ml的1%盐酸罗哌卡因+10μg芬太尼麻醉,两组产妇均行蛛网膜下腔穿刺麻醉。比较两组产妇麻醉效果、各时间点的血流动力学、不良反应发生率。结果两组产妇麻醉到手术开始时间、Bromage评分、手术时间、麻醉阻滞效果相比,无统计学差异(P>0.05);麻醉后15min和手术结束后,两组孕妇心率(HR)、平均动脉压(MAP)、血氧饱和度(SpO 2)比较,差异无统计学意义(P>0.05);胎儿娩出后观察组产妇HR、SpO 2、MAP均低于对照组,差异有统计学意义(P<0.05);观察组产妇不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论两种剂量的麻醉效果一致,与大剂量盐酸罗哌卡因相比,小剂量盐酸罗哌卡因腰-硬联合麻醉能有效稳定剖腹产产妇血流动力学,降低不良反应发生率,值得临床推广。
Objective To explore small doses of ropivacaine combined spinal epidural anesthesia on cesarean section maternal effect and hemodynamics. Methods From February 2015 to July 2016,94 cases of cesarean section in our hospital were randomly divided into two groups,each of 47 cases. The implementation of the control group 1. 5ml 1% ropivacaine anesthesia,the observation group received 1ml of 1% ropivacaine hydrochloride ＋ 10 g fentanyl anesthesia,two groups underwent subarachnoid anesthesia puncture. Compared the effects of two groups of maternal anesthesia,the time point of blood flow dynamics,the incidence of adverse reactions. Results The two groups of anesthesia to the operation start time,Bromage score,operation time,anesthesia effect compared with no significant difference（ P 0. 05）; 15 min and the end of surgery after anesthesia,two groups of maternal heart rate（ HR）,mean arterial pressure（ MAP）,oxygen saturation（ SpO 2）,no significant difference（ P 0. 05）; fetus after maternal observation group HR,SpO 2and MAP were lower than the control group,the difference was significant（ P 0. 05）; The incidence of adverse reactions in the observation group were lower than the control group,significant difference（ P 0. 05）. Conclusion Anesthesia effect of two doses,compared with the high dose of ropivacaine hydrochloride,small doses of ropivacaine combined spinal epidural anesthesia can effectively stabilize the caesarean section maternal hemodynamics,reduce the incidence of adverse reactions,it is worthy of clinical promotion.
作者
杨远平
Yang Yuanping(Maternal and child health care hospital of Taishan Guangdong 52920)
出处
《辽宁医学杂志》
2016年第6期56-58,共3页
Medical Journal of Liaoning
关键词
盐酸罗哌卡因
腰-硬联合麻醉
剖腹产
麻醉效果
血流动力学
Ropivacaine hydrochloride
Spinal epidural anesthesia
Cesarean section
Anesthesia
Hemodynamics
