不同浓度罗哌卡因硬膜外麻醉用于分娩镇痛后剖宫产术的比较  

COMPARISON OF DIFFERENT CONCENTRATION ROPIVACAINE FOR CAESARIAN SECTION AFTER LABOR ANALGESIA

作　　者：邱扬[1] 郭影靓[1] 杨卫联[1] 林玲[1] 

机构地区：[1]深圳市宝安妇幼保健院,广东深圳518100

出　　处：《现代医院》2012年第4期44-46,共3页Modern Hospitals

基　　金：深圳市宝安区科技计划基金项目(编号:2010553)

摘　　要：目的观察不同浓度罗哌卡因用于分娩镇痛后转剖宫产术硬膜外麻醉效果及并发症,寻求对产妇分娩镇痛后需改行剖宫产手术的罗哌卡因最佳浓度。方法选择无产科并发症的足月(37～41 w)初产妇120例随机分为A、B、C、D四组各30例,分别注射2%利多卡因、0.5%、0.75%和1%罗哌卡因,观察记录四组的镇痛效果;肌松效果;并发症以及MAP、HR、RR和SpO2的变化。结果镇痛效果:C、D组优于A、B组,差异有统计学意义;肌松效果:C、D组优于A、B组,差异有统计学意义;D组麻醉后MAP、HR显著改变及并发症较A、B、C组高,差异有统计学意义。结论 0.75%罗哌卡因用于分娩镇痛后转剖宫产术硬膜外镇痛、肌松效果好,对呼吸循环影响小,安全可行。Objective To study the effect to analgesia and the complications of different concentration ropivacaine for caesarian section after labor analgesia,discuss the proper concentration of ropivacaine in epidural anesthesia for the caesarian section. Methods 120 patients undergoing caesarian section were divided into A,B,C and D groups randomly.Each has 30 cases.Group A was received epidural anesthesia with 2 % Lidocaine;Group B with 0.5% ropivacaine;Group C with 0.75% ropivacaine and Group D with 1% ropivacaine.The indexes needed to be recorded are as follows： The analgesia effect;Muscle relaxation;complications;MAP;HR;RR and SpO2. Results The analgesia effect in Group B,C or D is better than Group A.Muscle relaxation： Group C,D is better than Group A,B.MAP and HR in Group D has changed obviously.The complications： Group D is worse than Group A,B,C. Conclusion Epidural anesthesia with 0.75% ropivacaine in patients undergoing caesarian section is safe and effective.

关 键 词：罗哌卡因 硬膜外阻滞 分娩镇痛 剖宫产术 

分 类 号：R971.2[医药卫生—药品]