罗哌卡因腰硬联合麻醉在剖宫产中的临床效果分析

The clinical effect analysis of ropivacaine combined spinal epidural anesthesia in cesarean section

目的:探讨罗哌卡因腰硬联合麻醉在剖宫产中的临床效果.方法:选择2014-02/2015-02在我院行剖宫产的产妇56例,随机分为对照组(n=28)和观察组(n=28),对照组给予布比卡因和腰硬联合麻醉,观察组给予罗哌卡因腰硬联合麻醉.比较两组产妇阻滞起效时间、镇痛维持时间、镇痛效果及不良反应情况.结果:观察组产妇麻醉阻滞起效时间、麻醉效果持续时间、VAS评分等指标与对照组相比差异无统计学意义(P>0.05);但观察组产妇不良反应发生率(7.14%)显著低于对照组(21.43%),差异有统计学意义(P<0.05).结论:剖宫产中对产妇行罗哌卡因腰硬联合麻醉的镇痛效果较好,尽管麻醉效果与布比卡因无明显差异,但其安全性较高,值得临床推广.

AIM： To investigate the clinical effects of ropivacaine combined spinal epidural anesthesia in cesarean section.METHODS： A total of 56 cases of puerpera accepting cesarean section in our hospital from February 2014 to February 2015 in our hospital were selected as research object,and were randomly divided into observation group（ n = 28） and control group（ n = 28）.Patients in control group were treated with bupivacaine and lumbar epidural anesthesia,the observation group were given ropivacaine combined spinal epidural anesthesia. The onset time,duration of analgesia,analgesic effect and adverse reactions of two groups were compared. RESULTS： The onset time of anesthesia,duration of anesthesia effect,VAS score and other indicators of observation group had no significant difference when compared with the control group（ P〉0.05）,but the incidence of adverse reactions of the observation group was 7. 14%,and that of the control group was 21. 43%,with statistically significant difference between the two groups（ P 〈0.05）. CONCLUSION： Despite the anaesthesia effects of the two groups had no significant difference,the analgesic effect of ropivacaine combined spinal epidural anesthesia was much better than bupivacaine for combined spinal epidural anesthesia in cesarean section,because of its higher security. It is worth clinical promotion.