0.5%罗哌卡因重比重液在剖宫产手术的剂量选择  

DOSE OF 0.5% ROPIVACAINE IN CESAREAN OPERATION

作　　者：高志娟 

机构地区：[1]江苏省如皋市第四人民医院,226511

出　　处：《中国煤炭工业医学杂志》2012年第10期1514-1515,共2页Chinese Journal of Coal Industry Medicine

摘　　要：目的探讨腰硬联合麻醉下0.5%罗哌卡因重比重液用于剖宫产手术的合适剂量。方法 100例产妇随机分成A、B、C、D、E五组,A组剂量为1.5ml,B、C、D、E四组剂量依次递加0.3ml,分别观察记录各组麻醉效果和麻醉不良反应。结果 A组与其余四组比较麻醉平面达到手术要求明显偏少(P<0.01),E组与其余四组比较麻醉效果好,但随着剂量的增加不良反应也明显增加(P<0.01)。B、C、D三组与A组比较麻醉效果好,与E组比较不良反应少。结论 0.5%罗哌卡因重比重液用于剖宫产手术的剂量为(2.1±0.3)ml。Objective To explore the dose of 0.5% ropivacaine used for caesarean under combined spi- nal - epidural anesthesia. Methods One hundred pregnant women were randomly divided into five groups, group A with a close of 1.5ml, then group B,group C, group D and group E were increase by degrees 0.3 ml. The anesthetic effect and anesthetic adverse reaction were observed and recorded. Results Compared with the other four groups, meet the requirement of the operation was significantly reduced in group A （P 〈0.01）, the anesthesia effect was good in group E, but the adverse also increased significantly as the dose increased （P〈0.01）. Compared with group A, the anesthetic effect was also good in group B,group C and group D. in addition, the anesthesia adverse reaction was less in the three groups than in group E. Conclu- sion The optimal dose of 0.5% ropivacaine used for Cesarean surgery is 2. lml ± 0.3ml.

关 键 词：腰硬联合麻醉 罗哌卡因 重比重液 剖宫产术 

分 类 号：R719.8[医药卫生—妇产科学]