甲哌卡因与罗哌卡因在剖宫产术后硬膜外自控镇痛中的应用效果观察  

Observation on the application effect of mepivacaine and ropivacaine in patient-controlled epidural analgesia after cesareansection

作　　者：杨子莹 Yang Ziying(Department of Anesthesiology Guidong People's Hospital of Guangxi Zhuang Autonomous Region,Wuzhou 543000,China)

机构地区：[1]广西壮族自治区桂东人民医院麻醉科,广西梧州543000

出　　处：《实用妇科内分泌电子杂志》2024年第2期60-63,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探究甲哌卡因与罗哌卡因在剖宫产术后硬膜外自控镇痛中的应用效果。方法选取96名行剖宫产的产妇,根据随机抽签法分为对照组与观察组,每组48名。对照组产妇接受甲哌卡因剖宫产术后硬膜外自控镇痛,观察组产妇接受罗哌卡因剖宫产术后硬膜外自控镇痛。比较两组产妇满意度、疼痛评分、不良反应发生情况、Bromage评分及按压次数。结果两组产妇满意度、手术后4h、6h、16h、24h时静息痛、运动痛评分、不良反应发生率、手术结束、手术后4h、8h的Bromage评分比较,差异无统计学意义(P>0.05)。对照组产妇按压次数为(1.96±1.02)次,观察组产妇按压次数为(2.02±1.00)次,比较差异无统计学意义(P>0.05)。结论对剖宫产产妇实行剖宫产术后硬膜外自控镇痛中应用甲哌卡因与罗哌卡因,均可减轻产妇疼痛,具有安全性,改善产妇Bromage评分,减少按压次数,值得临床推广与应用。Objective To exploring the application effect of mepivacaine and ropivacaine in patient-controlled epidural analgesia after cesarean section.Methods 96 postpartum women who underwent cesarean section were selected and randomly divided into a control group and an observation group,with 48 women in each group.The control group received patient-controlled epidural analgesia after cesarean section with mepivacaine,while the observation group received patient-controlled epidural analgesia after cesarean section with ropivacaine.Compare the satisfaction,pain score,incidence of adverse reactions,Bromage score,and number of compressions between two groups of parturients.Results There was no statistically significant difference(P>0.05)between the two groups in terms of maternal satisfaction,resting pain and exercise pain scores at 4,6,16,and 24 hours after surgery,incidence of adverse reactions,and Bromage scores at 4 and 8 hours after surgery.The number of compressions in the control group was(1.96±1.02)times,while in the observation group,the number of compressions was(2.021.00)times,with no statistically significant difference(P>0.05).Conclusion The application of mepivacaine and ropivacaine in postoperative patient-controlled epidural analgesia for cesarean section women can alleviate maternal pain,have safety,improve Bromage score,and reduce the number of compressions.It is worthy of clinical promotion and application.

关 键 词：剖宫产 甲哌卡因 罗哌卡因 硬膜外自控镇痛 

分 类 号：R614[医药卫生—麻醉学]