CAJ | 학술논문

目的探讨剖宫产术患者不同比重局麻药蛛网膜下腔阻滞的优缺点.方法拟在脊椎-硬膜外联合阻滞下行剖官产术患者120例,随机分为轻比重组(Q组,n=40)、等比重(D组,n=40)、重比重(Z组,n =40).Q组:0.75％布比卡因2ml+灭菌注射用水1ml,D组:0.75％布比卡因2ml+脑脊液1ml,Z组:0.75％布比卡因2ml+ 10％葡萄糖1ml,各组分别给2 ml(10 mg).观察各组麻醉特性、麻醉效果、血压、心率、并发症及术后神经功能情况.结果三组麻醉效果相同,患者对麻醉的满意度无明显差别.Z组阻滞完善时间明显较D组和Q组快(t=8.3、7.3,均P＜0.05),Z组最高镇痛平面较D组和Q组高(t=5.3、3.7,均P＜0.05),Z组感觉阻滞维持时间明显长于Q组(t=6.2,P＜0.05).Z组对循环的影响明显大于Q组和D 组.麻醉后低血压、恶心、呕吐发生率,Z组明显较Q组、D组高.结论在剖宫产术中三种不同比重局麻药的麻醉效果相同,等比重液腰麻用药单一,操作相对简单、安全,更适合剖宫产手术的麻醉.
목적 탐토부궁산술환자불동비중국마약주망막하강조체적우결점.방법 의재척추-경막외연합조체하행부관산술환자120례,수궤분위경비중조(Q조,n=40)、등비중(D조,n=40)、중비중(Z조,n =40).Q조:0.75％포비잡인2ml+멸균주사용수1ml,D조:0.75％포비잡인2ml+뇌척액1ml,Z조:0.75％포비잡인2ml+ 10％포도당1ml,각조분별급2 ml(10 mg).관찰각조마취특성、마취효과、혈압、심솔、병발증급술후신경공능정황.결과 삼조마취효과상동,환자대마취적만의도무명현차별.Z조조체완선시간명현교D조화Q조쾌(t=8.3、7.3,균P＜0.05),Z조최고진통평면교D조화Q조고(t=5.3、3.7,균P＜0.05),Z조감각조체유지시간명현장우Q조(t=6.2,P＜0.05).Z조대순배적영향명현대우Q조화D 조.마취후저혈압、악심、구토발생솔,Z조명현교Q조、D조고.결론 재부궁산술중삼충불동비중국마약적마취효과상동,등비중액요마용약단일,조작상대간단、안전,경괄합부궁산수술적마취.
Objective To explore the advantages and disadvantages of different local anesthetic subarachnoid block in patients with cesarean section.Methods 120 patients to be in the spinal-epidural cesarean section down,were randomly divided into 3 groups(n =40):lighter than restructuring( Q group),so the proportion of(D),heavy weight ( Z group).Q Group:0.75 ％ bupivacaine 2ml + sterile water for injection 1ml,D group:0.75 ％ bupivacaine 2ml + CSF 1 ml,Z group:0.75％ bupivacaine 2ml + 10％ glucose,1 ml,2ml of each group were given(10mg).Characteristics in each group anesthesia,blood pressure,heart rate,complications and postoperative neurological effects were observed.Results Three groups made the same anesthesia,patients satisfaction with anesthesia had no significant difference.Z group was significantly improved compared with block group D and Q group( t =8.3,7.3,all P ＜ 0.05 ),Z group was the highest plane analgesia group than the high D and Q,Z group was significantly longer than the duration of sensory block and Q group(P ＜0.05),Z group and D duration of sensory block had no significant difference.Z group was significantly greater than the impact of the cycle Q and D groups.Anesthesia hypotension,nausea and vomiting,weight was significantly lighter than the restructuring,such as the proportion of high group.Conclusion Cesarean section in the three groups in the proportion of different local anesthetic achieved the same anesthesia,and spinal anesthesia and other medication had the proportion of liquid single,and it was relatively simple,safe and more suitable for cesarean section anesthesia.