Ropivacaine for cesarean section under spinal anesthesia clinical observation.doc

 PAGE \* MERGEFORMAT 8 Ropivacaine for cesarean section under spinal anesthesia clinical observation Of: the same year Lvsheng Jie Zhang Bai Xinhua Salts Ropivacaine is a new amide local anesthetic, bupivacaine cardiac toxicity compared to low, motor block, light, etc., has been widely used in clinical. Most of cesarean section for the emergency operation , the requirement for anesthesia is necessary to play fast, complete analgesia, muscle relaxation, but also to maintain the maternal hemodynamic stability, little effect of drugs on the fetus. previous cesarean section spinal anesthesia with bupivacaine were used to good effect, but there are significant hemodynamic changes during anesthesia and postoperative recovery of motor block and slow shortcomings. since 2008, we will ropivacaine spinal anesthesia for cesarean delivery, and achieved good results. This paper compares the two during anesthesia anesthetic effect and impact on maternal, to evaluate their advantages and disadvantages. The report is as follows: 1 Materials and Methods 1.1 General information: patient selection in early production 120 cases of full-term single-child mothers, aged 21 to 38 years old, weighing 60 kg ~ 95 Height 155 ~ 170cm, ASA ~ grade level. Randomly divided into: ropivacaine group ( R) and bupivacaine group (B group) 60 cases. preoperative liver and kidney function, electrolytes were normal, spinal anesthesia without taboos, without pre-eclampsia, pregnancy-induced hypertension and other obstetric complications, no other system disease, non-narcotic drug allergy history. 1.2 Drugs configuration: R group with ropivacaine 13 mg (1% ropivacaine 1.3 ml), B group with bupivacaine 10 mg (0.5% bupivacaine 2ml), plus 10% glucose were diluted to 2.5 ml. 1.3 Anesthesia: upper extremity vein into the operating room after the open, enter the compound sodium chloride 500 mL ~ 1000ml. Maternal left lateral position, in line L3 ~ L4 disc space subarachnoid punctu