[1]夏姿询,李洪喜.不同剂量罗哌卡因腰-硬联合麻醉对剖腹产孕妇血流动力学及麻醉质量的影响[J].医学信息,2022,35(21):107-109.[doi:10.3969/j.issn.1006-1959.2022.21.026]
　XIA Zi-xun,LI Hong-xi.Effects of Different Doses of Ropivacaine in Combined Spinal-epidural Anesthesia on Hemodynamics and Anesthesia Quality of Cesarean Section Pregnant Women[J].Journal of Medical Information,2022,35(21):107-109.[doi:10.3969/j.issn.1006-1959.2022.21.026]
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不同剂量罗哌卡因腰-硬联合麻醉对剖腹产孕妇血流动力学及麻醉质量的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年21期
页码:
107-109
栏目:
临床研究
出版日期:
2022-11-01

文章信息/Info

Title:
Effects of Different Doses of Ropivacaine in Combined Spinal-epidural Anesthesia on Hemodynamics and Anesthesia Quality of Cesarean Section Pregnant Women
文章编号:
1006-1959（2022）21-0107-03
作者:
夏姿询; 李洪喜
（1.佳木斯市中医医院麻醉科，黑龙江 佳木斯 154002；2.桦南县妇幼保健计划生育服务中心妇产科，黑龙江 桦南 154499）
Author(s):
XIA Zi-xun; LI Hong-xi
(1.Department of Anesthesiology,Jiamusi Hospital of Traditional Chinese Medicine,Jiamusi 154002,Heilongjiang,China;2.Department of Obstetrics and Gynecology,Huanan County Maternal and Child Health Family Planning Service Center,Huanan 154499,Heilongjiang,China)
关键词:
罗哌卡因; 腰-硬联合麻醉; 剖腹产; 血流动力学; 麻醉质量
Keywords:
Ropivacaine; Combined spinal-epidural anesthesia; Caesarean section; Hemodynamics; Quality of anesthesia
分类号:
R614
DOI:
10.3969/j.issn.1006-1959.2022.21.026
文献标志码:
A
摘要:
目的 研究不同剂量罗哌卡因腰-硬联合麻醉对剖腹产孕妇血流动力学及麻醉质量的影响。方法 选取2020年5月-2021年6月在我院行剖宫产的70例孕妇为研究对象，采用随机数字表法分为对照组和观察组，各35例。两组产妇均采用腰-硬联合麻醉，对照组用2 ml 0.75%的罗哌卡因，观察组用1 ml 0.75%的罗哌卡因，比较两组不同时间血流动力学指标、麻醉恢复指标、麻醉质量、新生儿1 min Apgar 评分及不良反应发生率。结果 麻醉15 min，两组心率（HR）、平均动脉压（MAP）、血氧饱和度（SpO2）比较，差异无统计学意义（P＞0.05）；分娩后、手术结束后观察组HR低于对照组，MAP、SpO2高于对照组（P＜0.05）；观察组麻醉消退时间、自主排尿时间短于对照组（P＜0.05）；观察组感觉阻滞、麻醉阻滞时间短于对照组（P＜0.05）；两组麻醉平面维持时间比较，差异无统计学意义（P＞0.05）；两组新生儿1 min Apgar评分比较，差异无统计学意义（P＞0.05）；观察组不良反应发生率为8.57%，低于对照组的20.00%（P＜0.05）。结论 小剂量罗哌卡因腰-硬联合麻醉对剖腹产孕妇血流动力学影响较小，麻醉起效快，麻醉恢复时间短，麻醉质量效果良好，且不良反应少，对新生儿Apgar评分无影响，具有相对更优的有效性和安全性。
Abstract:
Objective To study the effects of different doses of ropivacaine combined spinal-epidural anesthesia on hemodynamics and anesthesia quality in pregnant women undergoing caesarean section.Methods A total of 70 pregnant women who underwent cesarean section in our hospital from May 2020 to June 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with 35 cases in each group. Both groups were treated with combined spinal-epidural anesthesia. The control group was treated with 2 ml 0.75% ropivacaine, and the observation group was treated with 1 ml 0.75% ropivacaine. The hemodynamic indexes, anesthesia recovery indexes, anesthesia quality, neonatal 1 min Apgar score and incidence of adverse reactions were compared between the two groups.Results There was no significant difference in heart rate (HR), mean arterial pressure (MAP) and oxygen saturation (SpO2) between the two groups at 15 min after anesthesia (P>0.05). After delivery and at the end of operation, HR in the observation group was lower than that in the control group, and MAP and SpO2 were higher than those in the control group (P<0.05). The anesthesia regression time and spontaneous urination time in the observation group were shorter than those in the control group (P<0.05). The time of sensory block and anesthesia block in the observation group was shorter than that in the control group (P<0.05). There was no significant difference in the duration of anesthesia plane between the two groups (P>0.05). There was no significant difference in 1 min Apgar score between the two groups (P>0.05). The incidence of adverse reactions in the observation group was 8.57%, which was lower than 20.00% in the control group (P<0.05).Conclusion Low-dose ropivacaine combined spinal-epidural anesthesia has little effect on hemodynamics in pregnant women undergoing cesarean section. The onset of anesthesia is fast, the recovery time of anesthesia is short, the quality of anesthesia is good, and the adverse reactions are few. It has no effect on neonatal Apgar score, and has relatively better effectiveness and safety.

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更新日期/Last Update: 1900-01-01