摘要
目的探索布比卡因腰麻用于剖宫产手术的适当浓度。方法选择46例剖宫产手术,分别用0.750%(A组23例)布比卡因10mg及0.125%(B组23例)布比卡因10mg进行腰麻,观察麻醉显效时间、镇痛质量、麻醉平面及维持时间、运动神经阻滞程度、胎儿剖出前后MAP和SPO2、产妇术后头痛发生率及新生儿Apgar评分。结果两组麻醉显效时间、镇痛质量、新生儿评分无显著性差异,麻醉平面维持时间A组明显长于B组,对运动神经阻滞程度和对呼吸循环功能抑制程度A组明显大于B组。结论用0.125%布比卡因腰麻行剖宫产手术安全、可靠,优于0.750%布比卡因。
Objective To evaluate optimal Bupivacaine concentration of lumbar anesthesia for cesarean section.Methods The46full-term puerperas of cesarean section with lumbar anesthesia were divided into two groups:group A(23cases,0.750%Bupivacaine)and group B(23cases,0.125%Bupivacaine).The total volume of Bupivacaine before and aftie r the child being broughot out in pre-delivery and post-clelivery of foetus is10mg.Pain control,anesthesia level holding time ,motor nerve depression,MAP and SPO 2 level,the rate of headache of the puerperas in postoperation were compared between two groups.Results The effect of pain control and newborn Apgar score had no clistinct difference between two groups.Anesthesia level holding time,motor nerve depression,respiratory and circulation systems depression in group A were significantly higher than those in group B.Conclusion Lumbar anesthesia for cesarean section with0.125%Bupivacaine is more safe and effective,than with0.750%Bupivacaine.
出处
《实用医药杂志》
2002年第8期575-576,共2页
Practical Journal of Medicine & Pharmacy
