重比重罗哌卡因腰麻硬膜外联合阻滞在急诊剖宫产术中的应用临床医学.docVIP

重比重罗哌卡因腰麻硬膜外联合阻滞在急诊剖宫产术中的应用临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：重比重罗哌卡因腰麻硬膜外联合阻滞在急诊剖宫产术中的应用临床医学 1 1 资料与方法 3 2 结果 4 3 讨论 5 文2：腰麻－硬膜外联合麻醉在急诊剖宫产术中的应用临床医学 6 1 资料与方法 6 2 结果 7 3 讨论 8 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 11 正文 重比重罗哌卡因腰麻硬膜外联合阻滞在急诊剖宫产术中的应用临床医学 文1：重比重罗哌卡因腰麻硬膜外联合阻滞在急诊剖宫产术中的应用临床医学 【Abstract】 Objective To study the clinical effect and safety of high-concentration ropivacaine for combined spinal-epidural anesthesia used in emergency caesarean section. Methods Sixty ASA class I-II patients with single birth and planed to do emergency caesarean sectio were randomly and equally divided into 3 groups. Group A, B and C were received 10mg, 12mg and 15mg of % ropivacaine combined with 3% ephedrine 15mg and 10% glucose 1ml respectively. The anaesthetic was injected into epidural administration after applied L2-3 intepace. The oet time, duration, anesthesia effect, newborn Apgar and its complicatio were There was no significant difference in statistics among three groups in anesthesia oet time and block level (P）. The anesthesia duration of group A is less than Group B and C obviously, and there were difference in anesthesia effect among three groups (P）. After adding 2% Lidocaine on epidural, the effective rates of group A, B and C were 65%, 20% and 15% respectively, with significant differences among three groups (P）. Five minutes after anesthesia, the blood pressure of three groups decreased significantly and group C was lower than that of group A (P）. Systolic pressure had no statistic meaning. No statistic difference on heart rate, Blood Oxygen Saturation and newborn Apgar between each group. Nausea and vomiting, or with chest distress and suffocated happened on group C, from statistic point of view, it was higher than those of group A and B (P）. Conclusion 12mg of % ropivacaine is the effective dose for combined spinal-epidural anesthesia on emergency caesarean section 【Key words】 ropivacaine;bupivacaine; combined spinal-epidura