不同比重布比卡因腰麻应用于产科麻醉的效果对比  

Comparison of the Effects of Different Proportions of Bupivacaine for Spinal Anesthesia in Obstetric Anesthesia

作　　者：张鸿[1] ZHANG Hong(Department of Anesthesiology,Dafeng TCM Hospital of Yancheng,Dafeng,Jiangsu Province,224100 China)

机构地区：[1]盐城市大丰中医院麻醉科

出　　处：《中外医疗》2019年第18期41-43,共3页China & Foreign Medical Treatment

摘　　要：目的通过对产妇是实施不同的腰麻方案,观察其临床效果,探究不同腰麻方案的临床特点。方法从来该院诊治的2017年1—12月的产科患者中随机抽取86例,采用随机数字法随机分为对照组43例:重比重布比卡因麻醉,观察组43例:等比重布比卡因麻醉,比较两组产妇感觉阻滞情况和不良反应发生情况。结果观察组感觉阻滞消退时间为(71.27±11.21)min低于对照组(t=12.078,P<0.05),感觉阻滞起效时间为(1.67±0.38)min高于对照组(t=9.956,P<0.05),达胸段最高阻滞平面为(5.29±0.75)节段高于对照组(t=10.042,P<0.05),感觉阻滞维持(124.86±10.17)min低于对照组(t=15.375,P<0.05),达最高阻滞平面时间为(9.56±2.15)min低于对照组(t=11.042,P<0.05);观察组牵拉反应和胸闷与对照组差异无统计学意义(P>0.05),观察组恶心呕吐发生率为0.00%低于对照组(9.30%)(χ^2=7.341,P<0.05),低血压为2.32%低于对照组(16..28%)(χ^2=8.862,P<0.05),使用麻黄碱发生率为4.65%低于对照组(18.60%)(χ^2=10.432,P<0.05)。结论等比重布比卡因麻醉与重比重布比卡因比较可以有效降低产妇的感觉阻滞情况,减少不良反应的发生,值得临床推广使用。Objective To explore the clinical effects of different lumbar anesthesia programs by implementing different lumbar anesthesia programs for women. Methods 86 patients from the obstetric patients from January 2017 to December 2017 were randomly selected and randomly divided into the control group by 43 patients: bupivacaine anesthesia with heavy weight, and 43 patients in the observation group: the proportion of bupivacaine was anesthetized, and the sensory block and adverse reactions of the two groups were compared. Results The sensory block regression time of the observation group was 71.27±11.21)min lower than that of the control group (t=12.078, P<0.05), and the onset time of sensory block was (1.67±0.38)min higher than the control group (t=9.956, P<0.05). The highest block plane of the thoracic segment was (5.29±0.75), which was higher than the control group (t=10.042, P<0.05), and the sensory block was maintained at (124.86±10.17)min lower than the control group (t=15.375, P<0.05). The highest block plane time was (9.56±2.15)min lower than the control group (t=11.042, P<0.05). There was no statistical difference between the observation group and the chest tightness in the observation group (P>0.05). The observation group had nausea and vomiting incidence rate was 0.00% lower than the control group (9.30%) (χ^2=7.341, P<0.05), and the hypotension was 2.32% lower than the control group (16.28%) (χ^2=8.862, P<0.05). The incidence of ephedrine was 4.65% lower than that of the control group (18.60%) (χ^2=10.432, P<0.05). Conclusion After comparison of bupivacaine anesthesia with heavy-weight bupivacaine, it can effectively reduce the sensory block of the pregnent women and reduce the occurrence of adverse reactions, which is worthy of clinical promotion.

关 键 词：布比卡因 产科 腰麻 

分 类 号：R614[医药卫生—麻醉学]