罗哌卡因和布比卡因硬膜外麻醉剖宫产疗效对比

Cesarean section compared the efficacy of ropivacaine and bupivacaine in epidural anesthesia

目的对比罗哌卡因和布比卡因硬膜外麻醉剖宫产的效果。方法选自2012年11月~2014年8月,在我院实施硬膜外麻醉剖宫产手术的孕妇52例,将其随机分两组,各26例。观察组使用罗哌卡因麻醉剂,对照组使用布比卡因麻醉剂,观察两组孕妇的生命体征和麻醉剂使用情况,记录两组孕妇产生的不良反应。结果观察组产妇使用的麻醉剂最大阻滞时间、最大维持时间、恢复时间优于对照组,麻醉起效时间差于对照组,给两组孕妇使用的麻醉剂效果差异有统计学意义(P<0.05)。结论罗哌卡因的阻滞和维持效果较布比卡因好、恢复速度快,且对孕妇和胎儿的安全性高、毒副作用低。

objective To compare the effect of ropivacaine and bupivacaine in epidural anesthesia for cesarean section. Methods From 2012 November to 2014 August, caesarean operation in 52 cases of pregnant women in the implementation of the epidural anesthesia in our hospital, which were randomly divided into 2 groups, 26 cases in each group. In study group:the use of narcotics control group using ropivacaine, bupivacaine anesthesia,observe two groups of pregnant women, vital signs and narcotic usage, adverse reactions of two groups ofpregnant women produce records. Results The maximum blocking time, observe the anesthetic group maternal use of maximum maintenance time, recovery time than the control group, the difference of the onset time of anesthesia in control group, two groups of pregnant women to use anesthetic effect differences, statisticalsignificance (P<0.05). Conclusion Ropivacaine block than bupivacaine and maintain good effect, fast recovery,and the safety of pregnant women and fetal high, low toxic and side effect.