不同剂量罗哌卡因腰硬联合麻醉对剖宫产产妇麻醉效果及术中血流动力学指标的影响
Impact of different doses of Ropivacaine combined spinal-epidural anesthesia on anesthesia effect and intraoperative hemodynamic indexes of parturients with cesarean section
王殿涛 1邱振强2
作者信息
- 1. 山东省莱阳市人民医院麻醉科,山东莱阳 265200
- 2. 山东省莱阳市妇幼保健院麻醉科,山东莱阳 265200
- 折叠
摘要
目的 分析不同剂量罗哌卡因腰硬联合麻醉对剖宫产产妇麻醉效果及术中血流动力学指标的影响.方法 选取 2020 年4月至 2022 年4月山东省莱阳市人民医院收治的 80 例行腰硬联合麻醉的剖宫产产妇作为研究对象,根据随机数字表法分为对照组与研究组,每组各40 例.对照组采用 2 ml 0.75%的罗哌卡因进行麻醉,研究组采用1 ml 0.75%的罗哌卡因进行麻醉.比较两组的麻醉效果及术中血流动力学指标.结果 研究组感觉阻滞起效时间、运动阻滞起效时间、感觉阻滞持续时间及运动阻滞恢复时间均短于对照组,差异有统计学意义(P<0.05).麻醉 30 min,研究组平均动脉压(MAP)高于对照组,心率(HR)低于对照组,差异有统计学意义(P<0.05).胎儿娩出时,研究组MAP高于对照组,HR低于对照组,血氧饱和度高于对照组,差异有统计学意义(P<0.05).两组不同时间点的每搏输出量比较,差异无统计学意义(P>0.05).结论 小剂量罗哌卡因腰硬联合麻醉在剖宫产术中的麻醉效果良好,可维持术中血流动力学指标稳定,具有积极意义.
Abstract
Objective To analyze the impact of different doses of Ropivacaine combined spinal-epidural anesthesia on anesthesia effect and intraoperative hemodynamic indexes of parturients with cesarean section.Methods A total of 80 parturients with cesarean section admitted to Laiyang People's Hospital,Shandong Province from April 2020 to April 2022 were selected as the study objects.All the parturients were divided into the control group and the study group according to the random number table method,with 40 cases in each group.The control group was anesthetized with 2 ml 0.75%Ropivacaine,and the study group was anesthetized with 1 ml 75%Ropivacaine.The anesthesia effect and intraoperative hemodynamic indexes were compared between the two groups.Results The onset time of sensory block,onset time of motor block,duration of sensory block,and recovery time of motor block in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After 30 minutes of anesthesia,the mean arterial pressure(MAP)in the study group was higher than that in the control group,and the heart rate(HR)was lower than that in the control group,and the differences were statistically significant(P<0.05).When the fetus was delivered,the MAP in the study group was higher than that in the control group,the HR was lower than that in the control group,and the oxygen saturation was higher than that in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in stroke volume at different time points between the two groups(P>0.05).Conclusion Low-dose Ropivacaine combined spinal-epidural anesthesia in cesarean section has a good anesthetic effect,which can maintain the stability of intraoperative hemodynamic indexes,and has a positive significance.
关键词
罗哌卡因/腰硬联合麻醉/剖宫产/麻醉效果/术中血流动力学指标Key words
Ropivacaine/Combined spinal-epidural anesthesia/Cesarean section/Anesthetic effect/Intraoperative hemodynamic index引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据