重比重和等比重罗哌卡因在妇科手术麻醉应用中的临床对比分析  

Comparison and analysis on clinical effects of hyperbaric ropivacaine and isobaric ropivacaine in anesthesia of gynecological surgery

作　　者：冯双苗 赵晨璐 袁银花 张化莲 FENG Shuang-miao;ZHAO Chen-lu;YUAN Yin-hua;ZHANG Hua-lian(No.2 Department of Obstetrics and Obstetrics,Zhumadian Central Hospital,Zhumadian,463000,China;Department of Anesthesiology,Zhumadian Central Hospital,Zhumadian,463000,China)

机构地区：[1]河南省驻马店市中心医院产二科,河南驻马店463000 [2]河南省驻马店市中心医院麻醉科,河南驻马店463000

出　　处：《实用医院临床杂志》2020年第3期84-87,共4页Practical Journal of Clinical Medicine

基　　金：2017年度河南省科技攻关基金资助项目(编号:172102310198)。

摘　　要：目的探讨重比重和等比重罗哌卡因在妇科手术麻醉应用中的临床效果。方法选取本院收治的妇科手术患者76例,根据其麻醉药物使用浓度的不同将其分为对照组和观察组各38例,观察组予以等比重罗哌卡因麻醉,对照组予重比重罗哌卡因麻醉,对比两组患者麻醉效果优良率、麻醉药物有效时间、麻醉过程中生命体征变化及不良反应发生率。结果与对照组比较,观察组患者麻醉总优良率较高,感觉阻滞起效时间、运动阻滞起效时间、感觉阻滞恢复时间均较长,运动阻滞恢复时间较短,差异均有统计学意义(P<0.05);与观察组比较,对照组麻醉后收缩压、舒张压下降、心率升高,差异有统计学意义(P<0.05);观察组患者不良反应发生率明显低于对照组(P<0.05)。结论等比重罗哌卡因在妇科手术麻醉应用中效果更佳,麻醉过程中患者生命体征更为平稳,不良反应发生率更低,安全性高,具有较高临床应用价值。Objective To investigate the clinical effects of hyperbaric ropivacaine and isobaric ropivacaine in anesthesia of gynecological surgery.Methods Seventy-six patients undergoing gynecological surgery admitted to our hospital were selected.They were divided into control group and observation group according to the concentration of anesthetics,38 in each group.The observation group was anesthetized with isobaric ropivacaine,and the control group was anesthetized with hyperbaric ropivacaine.The excellent and good rate of anesthesia effect,effective time of anesthetic drugs,changes of vital signs during anesthesia and incidence of adverse reactions were compared between the two groups.Results Compared with the control group,the total excellent and good rate of anesthesia effect in the observation group was higher.The effect time of sensory block and motor block,and recovery time of sensory block were longer in the observation group,and the recovery time of motor block was shorter(P<0.05).Compared with those in the observation group,the systolic blood pressure,diastolic blood pressure and heart rate were increased after anesthesia in the control group(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).Conclusion The isobaric ropivacaine is more effective in the anesthesia application of gynecological surgery.During the anesthesia,the patients’vital signs are more stable.The incidence of adverse reactions is lower,and the safety is high.The clinical application value is higher.

关 键 词：罗哌卡因 麻醉 妇科手术 临床应用 

分 类 号：R614.4[医药卫生—麻醉学]