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Ropivacaine for cesarean section under spinal anesthesia benefits
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Ropivacaine for cesarean section under spinal anesthesia benefits
[Keywords:] spinal anesthesia; ropivacaine; cesarean section
Ropivacaine is a new long-acting amide local anesthetic, its chemical structure and similar physical and chemical characteristics of bupivacaine, but ropivacaine on the central nervous system toxicity and cardiovascular toxicity than bupivacaine low [1 ]. caesarean section different from the general anesthesia surgical anesthesia, in addition to the full and effective analgesia, should consider drugs on uterine contractions and fetal effects and postoperative recovery. In this study, the same dose, the concentration of the Law ropivacaine and bupivacaine for cesarean section spinal anesthesia to compare the postoperative complications.
1 Materials and Methods
1.1 General information on hospital obstetric randomly selected full-term elective cesarean section maternal 60 cases, ASA ~ , aged 22 to 36 years old. The mothers were randomly divided into two groups: A group of 30 patients, age (26.2 + - 2.34) years, height (1.55 + -3.65) m, body weight (68.1 + -7.14) kg; B group, 30 cases of age (25.6 + -2.42 years), height (1.60 + -3.88) m, weight was (70.8 + -6.52) kg. two maternal age, height, weight, etc. There was no significant difference (Pgt; 0.05).
1.2 After entering the operating room anesthesia routine monitoring of maternal ECG, noninvasive blood pressure and oxygen saturation, the establishment of venous access and intravenous infusion of compound sodium chloride before the anesthetic solution, 300 ~ 500 ml. To take the left lateral position, the puncture point for the L3 4, puncture and cerebrospinal fluid suction smooth success, within the 30 s, A was injected ropivacaine 0.75% (hospital clinical operations Lok resistant materials) 1.5 ml +10% glucose solution 1.5 ml of the mixture, B 0.75% bupivacaine was injected 1.5 ml +10% glucose solution 1.5 ml of the mixture, supine, surgery without o
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