Evaluation and Analysis of the Value of Using Dexmedetomidine Com-bined with Ropivacaine for Spinal Anesthesia in Cesarean Section Women
Objective To study the clinical effect of dexmedetomidine combined with ropivacaine during intraspinal anesthesia during cesarean section.Methods 106 cases of cesarean section delivery in Yunxiao County Hospital from February 2021 to February 2024 were conveniently selected as the observation objects,and were divided into two groups according to different anesthesia programs,with 53 cases in each group.The control group received only ropiva-caine for intraspinal anesthesia,and the observation group received combined ropivacaine and dexmedetomidine for intraspinal anesthesia.The indexes related to anesthesia effect,heart rate and mean arterial pressure(MAP)of differ-ent time nodes,and the incidence of adverse reactions were compared between the two groups.Results The onset time of anesthesia in the observation group was(7.11±1.53)min,and the block time was(11.25±2.38)min,both of which were shorter than that of the control group(10.34±2.16)min and(18.34±3.11)min,the duration of anesthesia and an-algesia in the observation group was(59.13±12.34)min,it was longer than that of the control group(43.56±10.25)min,and the differences were statistically significant(t=8.883,13.180,7.066;all P<0.05).Before anesthesia,there was no significant difference in heart rate and MAP between the two groups(both P>0.05);the heart rate and MAP of the observation group were higher than those of the control group at the time of fetal delivery and the end of operation,and the differences were statistically significant(all P<0.05).The incidence of adverse reactions in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion The com-bined use of ropivacaine and dexmedetomidine during intraspinal anesthesia in cesarean section can further improve the anesthetic effect,make the vital signs of the pregnant women more stable and reduce the adverse reaction of anes-thesia.
万方数据
维普
