【摘要】 目的 对比观察0.75%罗哌卡因与0.5%布比卡因用于剖宫产手术硬膜外麻醉时临床麻醉效果和对新生儿的影响。方法 选择剖宫产术病人40例，随机分为两组，硬膜外麻醉用药分别采用0.75%罗哌卡因(R组)或0.5%布比卡因(B组)。观察两组感觉及运动阻滞效果，低血压、恶心、呕吐等副作用发生情况，以及新生儿一般状况。结果 R组感觉阻滞起效较快，持续时间较长，两组运动阻滞效果无明显差别，低血压、恶心、呕吐发生率R组稍多于B组，但无统计学意义。结论 0.75%罗哌卡因与0.5%布比卡因相比，感觉阻滞起效较快，持续时间较长，运动阻滞效果相似。

    关键词 罗哌卡因 布比卡因 硬膜外 剖宫产术

    Comparison between0.75%ropivacaine and0.5%bupivacaine

    in epidural anesthesia for caesarean section

    Xu Yimin

    Jinzhou Central Hospital，Jinzhou，Liaoning121001.

    【Abstract】 Objective To compare the clinical efficacy，side effects and neonatal state of0.75%ropivacaine and0.5%bupivacaine in epidural anesthesia for caesarean section.Methods 40patients undergoing caesarean secˉtion were randomly divided into two groups.Patients in the two groups were given0.75%ropivacaine(R group)and0.5%bupivacaine(B group)for epidural anesthesia respectively.Observing the efficacy of sensory and motor block.Checking and recording the possible adverse effects such as hypotension ......