0.5%与0.375%罗哌卡因腰硬联合麻醉在剖宫产术患者中的临床效果

Clinical Effect of 0.5% and 0.375% Ropivacaine Combined Spinal Epidural Anesthesia in Patients Undergoing Cesarean Section

目的探讨不同剂量罗哌卡因腰硬联合麻醉在剖宫产术患者中的应用效果。方法选取2017年1—9月我院收治的在腰硬联麻后行剖宫产术患者100例作为研究对象,将其分为两组,每组各50例,分别给予对照组与观察组0.375%与0.5%罗哌卡因,对比研究两组患者麻醉前、切皮时与娩出5 min各点的血压与心率。结果麻醉前,两组血压与心率对比,差异无统计学意义(P>0.05);与对照组比较,观察组切皮时的血压、心率及娩出后5 min心率显著较低,差异具有统计学意义(P<0.05)。结论剖宫产腰硬联麻时给0.5%罗哌卡因对机体循环影响较大,肌松与镇痛效果良好。

Objective To investigate the effect of different doses of ropivacaine combined spinal and epidural anesthesia in cesarean section patients. Methods 100 patients who underwent cesarean section after spinal epidural anesthesia in our hospital from January to September 2017 were selected as the research subjects. They were divided into two groups, with 50 cases in each group. The control group and the observation group were given 0.375% and 0.5% ropivacaine respectively. The blood pressure and heart rate of two groups of patients before and after skin incision and 5 min after delivery were compared. Results Before anesthesia, there was no significant difference in blood pressure and heart rate between the two groups（P 〉0.05）. Compared with the control group, the blood pressure, heart rate and heart rate at 5 min after skin incision in the observation group were significantly lower than those in the control group（P 0.05）. Conclusion 0.5% ropivacaine has a great effect on the circulation of the body during cesarean section combined lumbar interferon, and the effect of muscle relaxation and analgesia is good.