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

发布时间：2018-04-17 01:23

本文选题：盐酸罗哌卡因 + 腰-硬联合麻醉　；参考：《辽宁医学杂志》2016年06期

【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(P0.05);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(P0.05);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(P0.05);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(P0.05)。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。
[Abstract]:Objective to investigate the effect of low dose ropivacaine hydrochloride combined with spinal-epidural anesthesia on anesthetic effect and hemodynamics of caesarean section.Methods from February 2015 to July 2016, 94 cases of cesarean section were randomly divided into two groups, 47 cases in each group.The control group was anesthetized with 1% ropivacaine hydrochloride of 1.5ml, the observation group with 1% ropivacaine hydrochloride of 1ml 10 渭 g fentanyl, and the parturient with subarachnoid puncture anesthesia.The anaesthesia effect, hemodynamics and adverse reaction rate were compared between the two groups.Results there was no significant difference between the two groups in the time of anesthesia to the beginning of operation, the time of operation and the effect of anesthesia block (P 0.05). After anesthesia and after operation, there was no significant difference between the two groups in terms of heart rate, mean arterial pressure, blood oxygen saturation (SPO _ 2), heart rate (HR), mean arterial pressure (MAPP), and blood oxygen saturation (SPO _ 2).There was no significant difference (P 0.05); the map of HRSPO _ 2 in the observation group was lower than that in the control group (P 0.05), and the incidence of adverse reactions in the observation group was lower than that in the control group (P 0.05).Conclusion compared with high dose ropivacaine hydrochloride, low dose ropivacaine combined spinal-epidural anesthesia can effectively stabilize hemodynamics of caesarean section parturient and reduce the incidence of adverse reactions, which is worthy of clinical application.
【作者单位】：广东台山妇幼保健院;
【分类号】：R614

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