發(fā)布時間：2019-03-09 18:15

【摘要】：目的:分析為行剖宮產(chǎn)的妊高癥患者應(yīng)用羅哌卡因進(jìn)行麻醉的效果。方法:將近年來在我院接受剖宮產(chǎn)的140例妊高癥患者根據(jù)術(shù)中所用麻醉藥物的不同分為對照組和實驗組,為實驗組患者采用羅哌卡因進(jìn)行硬膜外麻醉,為對照組患者采用布比卡因進(jìn)行硬膜外麻醉,然后分析兩組患者術(shù)中麻醉起效的時間、麻醉持續(xù)的時間、運動阻滯的評分及其新生兒的Apgar評分。結(jié)果:與對照組患者相比,實驗組患者術(shù)中麻醉起效的時間較短,麻醉持續(xù)的時間較長,運動阻滯的評分較低,差異有統(tǒng)計學(xué)意義,P0.05。實驗組患者不良反應(yīng)的發(fā)生率低于對照組患者,差異有統(tǒng)計學(xué)意義(X2=4.528,P0.05)。兩組患者新生兒的Apgar評分相比較差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論:為接受剖宮產(chǎn)的妊高癥患者應(yīng)用羅哌卡因進(jìn)行手術(shù)麻醉可取得理想的效果,能縮短其術(shù)中麻醉起效的時間,延長其麻醉持續(xù)的時間,降低其接受麻醉后不良反應(yīng)的發(fā)生率,此法值得在臨床上推廣應(yīng)用。
[Abstract]:Objective: to analyze the effect of ropivacaine anesthesia for pregnancy-induced hypertension (PIH) patients undergoing cesarean section. Methods: 140 patients with PIH who underwent cesarean section in our hospital in recent years were divided into two groups: the control group and the experimental group. The patients in the experimental group were given epidural anesthesia with ropivacaine, and the patients in the experimental group were divided into two groups: the control group and the experimental group. Patients in the control group were given epidural anesthesia with bupivacaine. Then, the duration, duration of anesthesia, motor block score and neonatal Apgar score of the two groups were analyzed. Results: compared with the control group, the patients in the experimental group had shorter duration of anesthesia, longer duration of anesthesia and lower motor block score (P 0.05). The incidence of adverse reactions in the experimental group was lower than that in the control group, the difference was statistically significant (X2, 4.528, P0.05). There was no significant difference in neonatal Apgar scores between the two groups (P0.05). Conclusion: the application of ropivacaine in the anesthesia of PIH patients undergoing cesarean section can obtain ideal effect, shorten the time of onset of anesthesia and prolong the duration of anesthesia in patients with pregnancy-induced hypertension (PIH) undergoing cesarean section. To reduce the incidence of adverse reactions after anesthesia, this method is worthy of clinical application.
【作者單位】： 四川省達(dá)州中醫(yī)學(xué)校附屬醫(yī)院;
【分類號】：R614

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