CAJ | 학술논문

目的：分析罗哌卡因复合布托啡诺在剖宫产术对产妇进行硬膜外麻醉的效果。方法：选取100例健康足月进行剖宫产的产妇，临床ASA分级为Ⅰ～Ⅱ级，临床检测未发现其他相关疾病，随机分为对照组与观察组，每组50例。对照组单纯采用0.75%罗哌卡因进行连续硬膜外麻醉；观察组则采用0.75%罗哌卡因复合布托啡诺2 mg进行连续硬膜外麻醉，比较两组临床麻醉效果及不良反应。结果：观察组临床麻醉起效速度快于对照组，观察组的麻醉效果、腹膜牵拉和腹肌松弛优于对照组，两组比较差异有统计学意义（P<0.05）。两组产妇不良反应（恶心、呕吐、低血压）发生情况差异无统计学意义（P>0.05）。结论：临床剖宫产术中，采用罗哌卡因复合布托啡诺2 mg连续硬膜外麻醉效果优于单纯采用0.75%罗哌卡因连续硬膜外麻醉，且起效快。
목적：분석라고잡인복합포탁배낙재부궁산술대산부진행경막외마취적효과。방법：선취100례건강족월진행부궁산적산부，림상ASA분급위Ⅰ～Ⅱ급，림상검측미발현기타상관질병，수궤분위대조조여관찰조，매조50례。대조조단순채용0.75%라고잡인진행련속경막외마취；관찰조칙채용0.75%라고잡인복합포탁배낙2 mg진행련속경막외마취，비교량조림상마취효과급불량반응。결과：관찰조림상마취기효속도쾌우대조조，관찰조적마취효과、복막견랍화복기송이우우대조조，량조비교차이유통계학의의（P<0.05）。량조산부불량반응（악심、구토、저혈압）발생정황차이무통계학의의（P>0.05）。결론：림상부궁산술중，채용라고잡인복합포탁배낙2 mg련속경막외마취효과우우단순채용0.75%라고잡인련속경막외마취，차기효쾌。
Objective: To analyze the effect of ropivacaine combined with butorphanol in cesarean section patients with epidural anesthesia. Method:One hundred puerperas of healthy full-term with cesarean section, clinical classification of ASA Ⅰ-Ⅱ, clinical examination revealed no other related diseases, were randomly divided into the control group and the observation group, each group of 50 cases. The control group only was treated by the 0.75% ropivacaine epidural anesthesia. The observation group was treated by 0.75% ropivacaine combined with butorphanol 2 mg with continuous epidural anesthesia. The two groups of clinical anesthesia effect and adverse reaction were recorded.Result: The observation group onset time of clinical anesthesia was sooner than the control group. The anesthesia effect, peritoneal traction and abdominal muscle relaxation of the observation group were better than the control group, and the difference was statistically significant(P<0.05). The adverse reaction between two groups such as nausea, vomiting, incidence of hypoglycemia were significantly difference (P>0.05).Conclusion: In the clinical cesarean section operation, using ropivacaine combined with butorphanol 2 mg continuous epidural anesthesia is better than using 0.75% ropivacaine epidural anesthesia, and faster.