布比卡因、罗哌卡因在妊高症剖宫产麻醉中的应用比较(1)

http://www.100md.com 2017年3月5日 《医学信息》 2017年第9期

     摘要：目的 探讨比较布比卡因、罗哌卡因应用于妊高症剖宫产的临床效果。方法 本研究所选对象为我院2014年2月～2015年9月收治的妊高症产妇140例，按照随机方式将全部产妇分成对照组和实验组各70例，对照组产妇选择布比卡因麻醉，实验组产妇则选择罗哌卡因麻醉。比较两组产妇的麻醉效果(镇痛起效时间、镇痛持续时间和感觉阻滞评分)、新生儿Apgar评分以及不良反应。结果 实验组产妇麻醉镇痛起效时间、镇痛持续时间和感觉阻滞评分均显著优于对照组，差异有统计学意义(P<0.05)；实验组新生儿产后1min、5min Apgar评分均显著优于对照组，差异有统计学意义(P<0.05)；实验组产妇不良反应发生率明显低于对照组，差异有统计学意义(P<0.05)。结论 在妊高症剖宫产产妇的麻醉中，应用罗哌卡因麻醉具有比较理想的麻醉效果，而且不良反应发生率较低，具有临床应用价值。

    关键词： 妊高症；剖宫产；布比卡因；罗哌卡因；麻醉效果

    Comparison of the Application of Bupivacaine and Ropivacaine in Cesarean Section Anesthesia in Pregnancy Induced Hypertension

    ZHOU Gang

    (Department of Anesthesiology，Affiliated Hospital of Dazhou College of Traditional Chinese Medicine，Dazhou 635000，Sichuan，China)

    Abstract：Objective To explore the clinical effect of bupivacaine， ropivacaine in PIH cesarean section.Methods This study selected in our hospital in February 2014～2015 year in September from rengaozheng maternal 140 cases，according to random manner all women were divided into control group and experimental group of 70 patients in control group were bupivacaine anesthesia.Experimental group received ropivacaine anesthesia choice.The two groups were compared the anesthetic effect(analgesic onset time，duration of analgesia and sensory block score)，neonatal Apgar score and adverse reactions.Results The maternal pain during the onset time，duration of analgesia and sensory scores were significantly better than the control group，the difference was statistically significant(P<0.05)；the experimental group of postpartum 1min，5min Apgar scores were significantly better than the control group，the difference was statistically significant(P<0.05)；adverse reactions in experimental group the incidence rate was significantly lower than the control group，the difference was statistically significant(P<0.05).Conclusion Anesthesia in PIH cesarean section in the application of ropivacaine anesthesia has ideal effect，and low incidence rate of adverse reaction，has clinical application value.

    Key words：Pregnancy induced hypertension；Cesarean section；Bupivacaine；Ropivacaine；Anesthetic effect

    在產妇分娩过程中，如果产妇和胎儿未满足阴道分娩的条件，或者阴道分娩具有一定的危险，就应及时选择剖宫产手术[1]。尤其是妊高症产妇，因为其存在较高的血压水平，围生期婴儿死亡率较高，所以临床中常常选择剖宫产手术。布比卡因、罗哌卡因是剖宫产手术最常用的麻醉药物。本研究所选择我院2014年2月～2015年9月收治的妊高症产妇140例作为研究对象，比较了布比卡因、罗哌卡因在剖宫产手术中的麻醉效果，具体情况现做如下总结。

    1资料与方法

    1.1一般资料 本研究所选对象为我院2014年2月～2015年9月收治的妊高症产妇140例，全部产妇均满足妊高症的相关诊断标准。按照随机方式将全部产妇分成2组，对照组和实验组均为70例。对照组产妇的年龄为21～36岁，平均年龄为(39.1±2.2)岁；体重为52～85kg，平均体重为(63.3±3.7)kg；身高为155～173cm，平均身高为(164.4±1.8)cm。实验组产妇的年龄为22～37岁，平均年龄为(39.6±2.1)岁；体重为53～83kg，平均体重为(63.6±3.3)kg；身高为154～173cm，平均身高为(164.1±1.5)cm。在基线资料方面两组产妇比较差异具有可比性(P>0.05)。(周刚)

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