罗哌卡因与布比卡因在剖宫产手术蛛网膜下腔麻醉中的麻醉效果比较研究

Comparative study of ropivacaine and bupivacaine in caesarean section of subarachnoid anesthesia

目的:探讨剖宫产手术蛛网膜下腔麻醉中应用罗哌卡因与布比卡因的麻醉效果。方法:收治行剖宫产产妇200例,按照麻醉方式的不同将其分为探究组和参照组。探究组给予罗哌卡因腰麻,参照组给予布比卡因腰麻。结果:探究组产妇麻醉后5 min以及麻醉后10 min心率均高于参照组(P<0.05);参照组产妇运动阻滞起效时间、最大运动阻滞时间均明显短于探究组,运动阻滞维持时间均明显长于探究组(P<0.05);参照组产妇感觉阻滞维持时间明显长于探究组(P<0.05)。结论:在剖宫产手术蛛网膜下腔麻醉中应用罗哌卡因与布比卡因麻醉能够取得相似的麻醉效果,应用罗哌卡因麻醉有助于产妇术后恢复。

Objective：To investigate the anesthetic effect of ropivacaine and bupivacaine in subarachnoid anesthesia for caesarean section.Methods：200 cases of cesarean section were selected.According to the different methods of anesthesia,they were divided into inquiry group and reference group.The inquiry group was given ropivacaine for lumbar anesthesia,and the reference group was given bupivacaine for lumbar anesthesia.Results：The heart rate in 5 min after anesthesia and 10 min after anesthesia of the study group were higher than that of the control group（P〈0.05）;the onset time of exercise block and maximum motor block time of the reference group were significantly shorter than those of the inquiry group,and the duration of motor block maintenance was significantly longer than that of the inquiry group（P〈0.05）;the duration of sensory block of the reference group was significantly higher than that of the study group（P〈0.05）.Conclusion：Ropivacaine and bupivacaine anesthesia can achieve similar anesthesia effect for caesarean operation,and ropivacaine anesthesia is helpful for the recovery of puerpera after cesarean section.