重比重罗哌卡因腰硬联合麻醉在剖腹产术中的应用

Application of hyperbaric ropivacaine epidural anesthesia during caesarean section surgery

目的：观察重比重罗哌卡因腰硬联合麻醉在剖腹产术中的应用.方法：将急诊剖腹产术病人60例随机分为腰硬联合麻醉（C）组和硬膜外麻醉（E）组（每组各30例）进行手术.观察两组起效时间、术中牵拉反应发生率,术者对肌松的满意度、对呼吸循环的影响情况.结果：两组术中血压变化差异无显著性.C组麻醉起效时间较E组快,术中牵拉反应发生率低于E组,术者对肌松的满意率高于E组（P均〈0.01）.结论：重比重罗哌卡因腰硬联合麻醉具有起效快、作用完善、麻醉用药量小的特点.既提供了满意的肌松又消除了单纯硬膜外麻醉时患者难以耐受的术中牵拉反应,是剖腹产术一种安全可行的麻醉方法.

Objective： To observe the application of hyperbaric ropivacaine epidural anesthesia during caesarean section surgery. Methods： To randomly divide 60 patients of emergency cesarean section into epiduraljoint anesthesia （C） group and epidural anesthesia （E） group （each group was 30 cases）, then carry on an operation. To observe the onset time, the incidence of intraoperative traction reaction, surgeons＇ satisfaction of the muscle relaxant, and the effect on respiratory and circulatory. Results： There was no significant difference of blood pressure between the two groups. The onset time of anesthesia of group （C） was faster than group （E）, and the rate of intraoperative traction reaction was lower than group （E）.The rate of surgeons＇ satisfaction of the muscle relaxant was more high than group （E） （P〈0.01） Conclusion： Hyperbaric ropivacaine epidural anesthesia has the character of rapid onset, the role of perfect, a small amount of anesthetic drugs. It provided satisfied with the muscle relaxant and removed the difficulty to tolerate the surgery in patients with traction reaction, and it is a safe and feasible anesthetic method in caesarean section surgery.