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罗哌卡因布比卡因腰硬联合阻滞用于剖宫产术的对照分析 被引量:1

Ropivacaine Bupivacaine in Combined Spinal-epidural Anesthesia for Comparative Analysis of Cesarean Section
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摘要 目的探讨罗哌卡因与布比卡因在剖宫产腰硬联合阻滞中的麻醉效果。方法对患者进行分组并采用不同局部麻醉药物进行腰硬联合阻滞,对比两组患者麻醉效果。结果罗哌卡因组患者麻醉效果起效较慢,但麻醉持续总时间较长;罗哌卡因组患者术后恢复情况较好,其术后至开始排尿时间、术后至可正常活动时间、术后并发症发生率均较布比卡因组患者明显减少;两组新生儿情况对比无显著性差异。结论在保证新生儿质量相近的情况下,罗哌卡因用药更具有安全性,且麻醉效果维持时间更长,患者不良反应发生率较低,且术后更快进行排尿及运动,利于患者术后恢复身体健康。 Objective To investigate the anesthetic effect of ropivacaine and bupivacaine in combined spinal-epidural anesthesia for cesarean section. Methods The patients were divided by different local anesthetic drugs and combined spinal-epidural anesthesia, compared two groups of patients. Results The effect of anesthesia with ropivacaine group were slower onset, but the total duration of anesthesia longer;patients with good recovery after surgery, to begin voiding time, postoperative to incidence rate than bupivacaine group were significantly reduced normal activity time, postoperative complications;two groups had no signiifcant difference in comparison. Conclusion The newborn of similar quality to the next, ropivacaine administration is more secure, and anesthesia maintained longer, with a low incidence of adverse reactions, and postoperative voiding and faster movement, to restore health to patients after operation.
出处 《中国医药指南》 2013年第25期337-338,共2页 Guide of China Medicine
关键词 哌卡因 布比卡因 腰硬联合阻滞 剖宫产手术 麻醉效果对比分析 Ropivacaine Bupivaeaine Combined spinal-epidural anesthesia Cesarean operation Comparison and Analysis on effects of anesthesia
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  • 1刘兴会,吴连方.分娩镇痛的临床应用与管理[J].中华妇产科杂志,2005,40(6):362-364. 被引量:90
  • 2黄宇光.新型长效局麻药在麻醉与神经阻滞中的研究进展[J].广东医学,2006,27(11):1602-1603. 被引量:10
  • 3徐志明,李文硬.临床麻醉学[M].北京:人民卫生出版社,2000:315.
  • 4Santos AC, Arthur GR, Roberts DJ, et al. Effect of ropivacaineand bupivacaine on uterine blood flow in pregnant ewes [ J ]. Anesth Analg, 1992,74:62.
  • 5Datta S. clinical effects and mantemal and fetal plasma concentration of epidural ropivacaine versus bupivacaine for cesarean section [ J ]. Anesthesiology, 1995,82 : 1346.
  • 6Morton CPJ ,Bloomfield S, Magnusson A ,et al.Ropivacaine 0.75% for epidural anaesthesia in elective caesarean section:a open clinical and pharmacokinetic study in mother and neonate.Br J Anaesth, 1997, 79:3
  • 7Santos AC,Arthur GR,Pederson H,et al.Systemic toxicity of ropivacaine during ovine pregnancy.Anesthesiology, 1991,75 : 137
  • 8Gantier PE,De Kock M ,Van Steenberge A ,et al.Intrathecal ropivacaine for ambulatory sursery.Anesthesiology, 1999,91 (5) : 1239
  • 9Berde C, Strichartz G. Local anesthetics [M]//Miller RD. Anesthesia. 5th ed. Philadelphia : Churchill Livingstone, 2000 : 491-521.
  • 10Lacassie HJ, Columb MO, Lacassie HP, et al. The relative motor-blocking potencies of epidural bupivacaine and ropivacaine in labor [J]. Anesth Analg, 2002,95 ( 3 ) : 204-208.

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