摘要
目的探讨剖宫产术患者不同比重局麻药蛛网膜下腔阻滞的优缺点。方法拟在脊椎．硬膜外联合阻滞下行剖宫产术患者120例，随机分为轻比重组（Q组，n=40）、等比重（D组，n=40）、重比重（Z组，n=40）。Q组：o．75％布比卡因2ml＋灭菌注射用水1ml，D组：0．75％布比卡因2ml＋脑脊液1ml，Z组：0．75％布比卡因2ml＋10％葡萄糖1ml，各组分别给2ml（10mg）。观察各组麻醉特性、麻醉效果、血压、心率、并发症及术后神经功能情况。结果三组麻醉效果相同，患者对麻醉的满意度无明显差别。z组阻滞完善时间明显较D组和Q组快（t=8．3、7．3，均P〈0．05），z组最高镇痛平面较D组和Q组高（t=5．3、3．7，均P〈0．05），Z组感觉阻滞维持时间明显长于Q组（t=6．2，P〈0．05）。Z组对循环的影响明显大于Q组和D组。麻醉后低血压、恶心、呕吐发生率，z组明显较Q组、D组高。结论在剖宫产术中三种不同比重局麻药的麻醉效果相同，等比重液腰麻用药单一，操作相对简单、安全，更适合剖宫产手术的麻醉。
Objective To explore the advantages and disadvantages of different local anesthetic subarachnoid block in patients with cesarean section. Methods 120 patients to be in the spinal-epidural cesarean section down, were randomly divided into 3 groups（ n = 40） ：lighter than restructuring（ Q group） , so the proportion of（D） , heavy weight （ Z group）. Q Group ： 0.75 % bupivacaine 2ml ＋ sterile water for injection 1 ml, D group ： 0.75 % bupivaeaine 2ml ＋ CSF 1 ml, Z group ：0.75% bupivacaine 2ml ＋ 10% glucose, 1 ml,2ml of each group were given（ 10mg）. Charac- teristics in each group anesthesia, blood pressure, heart rate, complications and postoperative neurological effects were observed. Results Three groups made the same anesthesia, patients satisfaction with anesthesia had no significant difference. Z group was significantly improved compared with block group D and Q group（ t = 8.3,7.3, all P 〈 0.05 ）, Z group was the highest plane analgesia group than the high D and Q ,Z group was significantly longer than the dura- tion of sensory block and Q group（ P 〈 0.05 ） , Z group and D duration of sensory block had no significant difference. Z group was significantly greater than the impact of the cycle Q and D groups. Anesthesia hypotension, nausea and vomiting, weight was significantly lighter than the restructuring, such as the proportion of high group. Conclusion Ce- sarean section in the three groups in the proportion of different local anesthetic achieved the same anesthesia, and spi- nal anesthesia and other medication had the proportion of liquid single, and it was relatively simple, safe and more suitable for cesarean section anesthesia.
出处
《中国基层医药》
CAS
2012年第20期3058-3060,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
布比卡因
剖宫产术
麻醉
脊柱
轻比重
等比重
重比重
Bupivacaine
Cesarean section
Anesthesis, spinal
Hypobaric
Isobaric
Hyperbaric
