罗哌卡因或布比卡因单次蛛网膜下腔阻滞.docVIP

罗哌卡因单次蛛网膜下腔阻滞对剖宫产术循环功能的影响 韦福文广西桂林临桂西城医院 【摘要】目的 探讨0.5%盐酸罗哌卡因或0.5%盐酸布比卡因单次蛛网膜下腔阻滞对剖宫产产妇循环功能的影响。方法 选择80例急诊行剖宫产术的孕产妇，随机分为二组，于L2 ～ 3间隙行蛛网膜下腔穿刺，分别注入0.5%盐酸罗哌卡因3ml（A组）?或P＜0.05）P＜0.05）0.5%的盐酸罗哌卡因腰麻对血压的影响要显著小于同浓度的布比卡因，对患者循环功能影响小，安全性高于布比卡因，适用于急诊剖宫产术的麻醉。 关键词 罗哌卡因 ；蛛网膜下腔阻滞；剖宫产；循环功能 Ropivacaine or bupivacaine single spinal anesthesia in cesarean section on intraoperative circulatory function. WEI Fu-wen, Department of Anesthes- iology, Xicheng Hospital of Lin Gui , Gui Lin ,540011,China. [Abstract] Objective To study the effects on maternal hemodynamics of 0.5% ropivacaine or 0.5% bupivacain single spinal anesthesia in cesarean section. Methods Eighty patients with emergency cesarean section maternal, were randomly divided into two groups, the gap in the line L2 ~ 3 subarachnoid puncture, were injected 0.5% ropivacaine hydrochloride 3ml (R group) or 0.5% hydrochloric acid cloth than cocaine 3ml (B group). Two groups of patients recorded the highest block plane and arrival time, intraoperative fluid volume and surgical time, record MAP and HRof before anesthesia, anesthesia after 5 minutes 、10 minutes 、20 minutes after anesthesia. Results Two groups of patients were in the highest block plane T7, block plane reached the highest time, intraoperative transfusion, operation time, the difference was not statistically significant. MAP R group did not change significantly before and after anesthesia; B group after anesthesia MAP 5min, anesthesia 10min, 20min after anesthesia decreased significantly compared with those before anesthesia, the difference was statistically significant (P 0.05). Between the two groups, the difference was statistically significant (P 0.05). HR groups did not change significantly after anesthesia, the difference between groups was not statistically significant. Conclusion 0.5% ropivacaine hydrochloride spinal anesthesia on blood pressure was significantly less than the same concentrations of bupivacaine, little effect on circulatory function in pat