检验医学与临床
檢驗醫學與臨床
검험의학여림상
Laboratory Medicine and Clinic
2015年
18期
2715-2717
,共3页
罗哌卡因%腰-硬联合麻醉%剖宫产%血流动力学%麻醉质量
囉哌卡因%腰-硬聯閤痳醉%剖宮產%血流動力學%痳醉質量
라고잡인%요-경연합마취%부궁산%혈류동역학%마취질량
ropivacaine%combined spinal epidural anesthesia%caesarean section%hemodynamic%anes-thesia quality
目的：探讨小剂量罗哌卡因腰‐硬联合麻醉对剖宫产孕妇血流动力学及麻醉质量的影响。方法选取来该院自愿行剖宫产手术的124例孕妇为研究对象，采用随机数字表法分为观察组和对照组各62例，两组产妇均采用腰‐硬联合麻醉，观察组采用1．0 mL 1％罗哌卡因联合10μg 芬太尼进行麻醉，对照组采用1．5 mL 1％罗哌卡因进行麻醉，比较血流动力学指标及麻醉质量。结果麻醉后5、10 min ，观察组收缩压、舒张压下降幅度明显低于对照组，心率上升幅度明显低于对照组；运动阻滞起效时间、感觉阻滞起效时间、最大感觉阻滞平面均明显低于对照组；两组最大运动阻滞程度比较差异无统计学意义（P＞0．05）。结论小剂量罗哌卡因腰‐硬联合有利于稳定术中血流动力学指标，提高麻醉质量。
目的：探討小劑量囉哌卡因腰‐硬聯閤痳醉對剖宮產孕婦血流動力學及痳醉質量的影響。方法選取來該院自願行剖宮產手術的124例孕婦為研究對象，採用隨機數字錶法分為觀察組和對照組各62例，兩組產婦均採用腰‐硬聯閤痳醉，觀察組採用1．0 mL 1％囉哌卡因聯閤10μg 芬太尼進行痳醉，對照組採用1．5 mL 1％囉哌卡因進行痳醉，比較血流動力學指標及痳醉質量。結果痳醉後5、10 min ，觀察組收縮壓、舒張壓下降幅度明顯低于對照組，心率上升幅度明顯低于對照組；運動阻滯起效時間、感覺阻滯起效時間、最大感覺阻滯平麵均明顯低于對照組；兩組最大運動阻滯程度比較差異無統計學意義（P＞0．05）。結論小劑量囉哌卡因腰‐硬聯閤有利于穩定術中血流動力學指標，提高痳醉質量。
목적：탐토소제량라고잡인요‐경연합마취대부궁산잉부혈류동역학급마취질량적영향。방법선취래해원자원행부궁산수술적124례잉부위연구대상，채용수궤수자표법분위관찰조화대조조각62례，량조산부균채용요‐경연합마취，관찰조채용1．0 mL 1％라고잡인연합10μg 분태니진행마취，대조조채용1．5 mL 1％라고잡인진행마취，비교혈류동역학지표급마취질량。결과마취후5、10 min ，관찰조수축압、서장압하강폭도명현저우대조조，심솔상승폭도명현저우대조조；운동조체기효시간、감각조체기효시간、최대감각조체평면균명현저우대조조；량조최대운동조체정도비교차이무통계학의의（P＞0．05）。결론소제량라고잡인요‐경연합유리우은정술중혈류동역학지표，제고마취질량。
Objective To study the impact of small dose ropivacaine combined spinal epidural anesthesia on hemodynamics and anesthetic quality in pregnant women with cesarean section .Methods 120 pregnant women vol‐untarily undergoing caesarean section in our hospital were selected the research subjects and randomly divided into the observation group and the control group according to the random number table ,62 cases in each group .The two groups adopted the combined spinal epidural anesthesia .The observation group adopted 1% ropivacaine 1 .0 mL and fentanyl 10 μg for conducting combined spinal epidural anesthesia ,while the control group was given 1% ropivacaine 1 .5 mL .The hemodynamic indexes and anesthetic quality were compared between the two groups .Results The de‐scent range of SBP ,DBP at 5 ,10 min after anesthesia in the observation group were significantly lower than those in the control group ,HR ascent range was significantly lower than that in the control group ;the motor block onset time ,sensory block onset time and maximum sensory block plane were significantly lower than those in the control group ;there were no statistically significant difference in maximum motor block level between the two groups .Con‐clusion small dose ropivacaine combined spinal epidural anesthesia conduces to stabilize the intraoperative hemody‐namic indexes and improves the anesthetic quality .
