当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
2期
33-34
,共2页
氯普鲁卡因%剖宫产%硬外膜阻滞
氯普魯卡因%剖宮產%硬外膜阻滯
록보로잡인%부궁산%경외막조체
Chloroprocaine%Cesarean section%Epidural block
目的:对氯普鲁卡因在剖宫产手术中的临床应用进行观察,探讨其效果及安全性。方法选择90例进行剖宫产手术的孕妇征求同意后随机分为试验组和对照组,每组45例,分别采用3%氯普鲁卡因和2%利多卡因麻醉,两者均采用单管硬膜外神经阻带,试验后1次注入药物10 mL,观察其麻醉效果,对其麻醉起效时间、疼痛消失时间以及运动阻滞时间、疼痛恢复时间和运动恢复时间等指数进行统计对比。结果试验组:麻醉起效时间(3.8±1.24)min、疼痛消失时间(8.6±3.31)min,运动阻滞时间(13.7±3.14)min以及运动恢复时间(78.8±18.2)min均远低于对照组:麻醉起效时间(5.3±1.57)min,疼痛消失时间(15.6±3.78)min,运动阻滞时间(19.8±4.65)min,运动恢复时间(87.9±19.5)min;两组患者痛觉恢复时间相似,痛觉恢复后5 min试验组疼痛程度试验明显重于对照组,差异均有统计学意义(均P<0.05)。两组均未出现不良反应。结论氯普鲁卡因应用于剖宫产手术麻醉效果,起效时间短、运动阻滞效果以及恢复效果均好于利多卡因。且无不良反应,相对于利多卡因更适合用于剖宫产手术的麻醉。
目的:對氯普魯卡因在剖宮產手術中的臨床應用進行觀察,探討其效果及安全性。方法選擇90例進行剖宮產手術的孕婦徵求同意後隨機分為試驗組和對照組,每組45例,分彆採用3%氯普魯卡因和2%利多卡因痳醉,兩者均採用單管硬膜外神經阻帶,試驗後1次註入藥物10 mL,觀察其痳醉效果,對其痳醉起效時間、疼痛消失時間以及運動阻滯時間、疼痛恢複時間和運動恢複時間等指數進行統計對比。結果試驗組:痳醉起效時間(3.8±1.24)min、疼痛消失時間(8.6±3.31)min,運動阻滯時間(13.7±3.14)min以及運動恢複時間(78.8±18.2)min均遠低于對照組:痳醉起效時間(5.3±1.57)min,疼痛消失時間(15.6±3.78)min,運動阻滯時間(19.8±4.65)min,運動恢複時間(87.9±19.5)min;兩組患者痛覺恢複時間相似,痛覺恢複後5 min試驗組疼痛程度試驗明顯重于對照組,差異均有統計學意義(均P<0.05)。兩組均未齣現不良反應。結論氯普魯卡因應用于剖宮產手術痳醉效果,起效時間短、運動阻滯效果以及恢複效果均好于利多卡因。且無不良反應,相對于利多卡因更適閤用于剖宮產手術的痳醉。
목적:대록보로잡인재부궁산수술중적림상응용진행관찰,탐토기효과급안전성。방법선택90례진행부궁산수술적잉부정구동의후수궤분위시험조화대조조,매조45례,분별채용3%록보로잡인화2%리다잡인마취,량자균채용단관경막외신경조대,시험후1차주입약물10 mL,관찰기마취효과,대기마취기효시간、동통소실시간이급운동조체시간、동통회복시간화운동회복시간등지수진행통계대비。결과시험조:마취기효시간(3.8±1.24)min、동통소실시간(8.6±3.31)min,운동조체시간(13.7±3.14)min이급운동회복시간(78.8±18.2)min균원저우대조조:마취기효시간(5.3±1.57)min,동통소실시간(15.6±3.78)min,운동조체시간(19.8±4.65)min,운동회복시간(87.9±19.5)min;량조환자통각회복시간상사,통각회복후5 min시험조동통정도시험명현중우대조조,차이균유통계학의의(균P<0.05)。량조균미출현불량반응。결론록보로잡인응용우부궁산수술마취효과,기효시간단、운동조체효과이급회복효과균호우리다잡인。차무불량반응,상대우리다잡인경괄합용우부궁산수술적마취。
Objective To observe the clinical application of chloroprocaine in caesarean operation,to investigate the effect and safety. Methods 90 cases of pregnant women with caesarean operation in our hospital,were randomly divided into experimental group and control group,45 cases of patients in each group,respectively with 3%chloroprocaine and 2%lidocaine anesthesia,both of which adopts the single epidural nerve block,1 injection drug 10 mL,and observe the anesthetic effect,statistics and comparison of the onset time of anesthesia,time of pain and motor block time, recovery time of motor index and pain. Results The experimental group:anesthesia onset time (3.8±1.24)min, the pain disappeared time (8.6±3.31) min, motor blockade (13.7±3.14)min and motion recovery time (78.8±18.2)min were much lower than Control group:The onset time (5.3±1.57)min, the pain disappeared time (15.6±3.78)min, motor blockade (19.8±4.65)min, sports recovery time (87.9±19.5)min;patients were pain recovery time similar pain recovery after 5 min test test group was more severe pain than the control group, the differences were statistically significant (P<0.05). No adverse reactions. Conclusion Chloroprocaine used in caesarean operation anesthesia is effect,including the onset time,effect of motor block and recovery effect is better than lidocaine. And no adverse reaction,relative to the anesthesia of lidocaine is more suitable for caesarean operation.