为行剖宫产的妊高症患者应用罗哌卡因进行麻醉的效果分析

发布时间：2019-03-09 18:15

【摘要】：目的:分析为行剖宫产的妊高症患者应用罗哌卡因进行麻醉的效果。方法:将近年来在我院接受剖宫产的140例妊高症患者根据术中所用麻醉药物的不同分为对照组和实验组,为实验组患者采用罗哌卡因进行硬膜外麻醉,为对照组患者采用布比卡因进行硬膜外麻醉,然后分析两组患者术中麻醉起效的时间、麻醉持续的时间、运动阻滞的评分及其新生儿的Apgar评分。结果:与对照组患者相比,实验组患者术中麻醉起效的时间较短,麻醉持续的时间较长,运动阻滞的评分较低,差异有统计学意义,P0.05。实验组患者不良反应的发生率低于对照组患者,差异有统计学意义(X2=4.528,P0.05)。两组患者新生儿的Apgar评分相比较差异无统计学意义(P0.05)。结论:为接受剖宫产的妊高症患者应用罗哌卡因进行手术麻醉可取得理想的效果,能缩短其术中麻醉起效的时间,延长其麻醉持续的时间,降低其接受麻醉后不良反应的发生率,此法值得在临床上推广应用。
[Abstract]:Objective: to analyze the effect of ropivacaine anesthesia for pregnancy-induced hypertension (PIH) patients undergoing cesarean section. Methods: 140 patients with PIH who underwent cesarean section in our hospital in recent years were divided into two groups: the control group and the experimental group. The patients in the experimental group were given epidural anesthesia with ropivacaine, and the patients in the experimental group were divided into two groups: the control group and the experimental group. Patients in the control group were given epidural anesthesia with bupivacaine. Then, the duration, duration of anesthesia, motor block score and neonatal Apgar score of the two groups were analyzed. Results: compared with the control group, the patients in the experimental group had shorter duration of anesthesia, longer duration of anesthesia and lower motor block score (P 0.05). The incidence of adverse reactions in the experimental group was lower than that in the control group, the difference was statistically significant (X2, 4.528, P0.05). There was no significant difference in neonatal Apgar scores between the two groups (P0.05). Conclusion: the application of ropivacaine in the anesthesia of PIH patients undergoing cesarean section can obtain ideal effect, shorten the time of onset of anesthesia and prolong the duration of anesthesia in patients with pregnancy-induced hypertension (PIH) undergoing cesarean section. To reduce the incidence of adverse reactions after anesthesia, this method is worthy of clinical application.
【作者单位】： 四川省达州中医学校附属医院;
【分类号】：R614

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