探讨罗哌卡因腰-硬联合麻醉对剖腹产孕妇血流动力学及麻醉质量的影响

发布时间：2018-04-28 21:18

本文选题：麻醉质量 + 血流动力学　；参考：《世界最新医学信息文摘》2016年99期

【摘要】：目的分析研讨罗哌卡因腰-硬联合麻醉对剖腹产孕妇血流动力学及麻醉质量的影响。方法此研究为前瞻性研究,采用随机抽签方式,从我院2013年2月-2016年期间收治的剖腹产产妇中,抽取88例纳入到讨论中,88例患者按入院单双顺序分组讨论,对照组44例(2m L罗哌卡因0.75%+1m L注射用水),研究组44例(1m L罗哌卡因0.75%+2m L注射用水),对比讨论两组患者麻醉状况。结果对比两组产妇麻醉前SBP、DBP、HR、SpO_2等指数,组间数据无统计学意义(P0.05);对比两组产妇麻醉后SBP、DBP、HR、SpO_2等指数,研究组比对照组优,组间数据有统计学意义(P0.05)。对比两组产妇麻醉质量,从感觉最大阻滞平面、感觉阻滞见效时间、运动最大阻滞程度、运动阻滞见效时间上来看,研究组比对照组优,组间数据有统计学意义(P0.05)。结论临床在制定剖腹产孕妇麻醉方案时可考虑将1m L罗哌卡因腰-硬联合麻醉方式,麻醉质量得到提升,可一定程度上稳定产妇血流动力学。
[Abstract]:Objective to study the effect of combined spinal and epidural anesthesia with ropivacaine on hemodynamics and anaesthesia quality of caesarean section pregnant women. Methods this study was a prospective study. 88 caesarean section women were selected from our hospital from February 2013 to 2016. 88 patients were divided into two groups according to the single and double order of admission. 44 patients in control group were treated with ropivacaine (0.75%) and 44 patients in study group (n = 44) were treated with ropivacaine (0.75%) or 0.75% (2m / L) respectively. The anaesthesia status of the two groups was compared and discussed. Results there was no significant difference between the two groups in the index of SBP- DBP- HR-SPO _ 2 before anesthesia, and the comparison of the indexes of SBP- DBP- HRSPO2 after anesthesia between the two groups was better in the study group than in the control group, and there was statistically significant difference in the data between the two groups. Compared with the two groups, the anesthesia quality of the two groups was better than that of the control group in terms of the level of maximum sensory block, the effective time of sensory block, the degree of motor block and the effective time of motor block, and the data between groups were statistically significant (P 0.05). Conclusion the combined spinal-epidural anesthesia with lm L ropivacaine can be taken into account when drawing up the anesthesia scheme for pregnant women undergoing caesarean section. The quality of anesthesia can be improved and the hemodynamics of parturient can be stabilized to a certain extent.
【作者单位】：内蒙古赤峰市巴林右旗妇幼保健院麻醉科;
【分类号】：R614

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