CAJ | 학술논문

目的探讨罗哌卡因与布比卡因在剖宫产腰硬联合阻滞中的麻醉效果。方法对患者进行分组并采用不同局部麻醉药物进行腰硬联合阻滞，对比两组患者麻醉效果。结果罗哌卡因组患者麻醉效果起效较慢，但麻醉持续总时间较长；罗哌卡因组患者术后恢复情况较好，其术后至开始排尿时间、术后至可正常活动时间、术后并发症发生率均较布比卡因组患者明显减少；两组新生儿情况对比无显著性差异。结论在保证新生儿质量相近的情况下，罗哌卡因用药更具有安全性，且麻醉效果维持时间更长，患者不良反应发生率较低，且术后更快进行排尿及运动，利于患者术后恢复身体健康。
목적탐토라고잡인여포비잡인재부궁산요경연합조체중적마취효과。방법대환자진행분조병채용불동국부마취약물진행요경연합조체，대비량조환자마취효과。결과라고잡인조환자마취효과기효교만，단마취지속총시간교장；라고잡인조환자술후회복정황교호，기술후지개시배뇨시간、술후지가정상활동시간、술후병발증발생솔균교포비잡인조환자명현감소；량조신생인정황대비무현저성차이。결론재보증신생인질량상근적정황하，라고잡인용약경구유안전성，차마취효과유지시간경장，환자불량반응발생솔교저，차술후경쾌진행배뇨급운동，리우환자술후회복신체건강。
Objective To investigate the anesthetic effect of ropivacaine and bupivacaine in combined spinal-epidural anesthesia for cesarean section. Methods The patients were divided by different local anesthetic drugs and combined spinal-epidural anesthesia, compared two groups of patients. Results The effect of anesthesia with ropivacaine group were slower onset, but the total duration of anesthesia longer;patients with good recovery after surgery, to begin voiding time, postoperative to incidence rate than bupivacaine group were significantly reduced normal activity time, postoperative complications;two groups had no signiifcant difference in comparison. Conclusion The newborn of similar quality to the next, ropivacaine administration is more secure, and anesthesia maintained longer, with a low incidence of adverse reactions, and postoperative voiding and faster movement, to restore health to patients after operation.