论文部分内容阅读
目的比较等效剂量布比卡因轻比重液和重比重液腰麻用于剖宫产手术的麻醉效果。方法 60例ASAⅠ或Ⅱ级剖宫产手术患者,随机均分为两组,各组30例。A组腰麻用轻比重0.125%布比卡因(0.5%布比卡因2 ml+灭菌水6 ml)7.5~10 mg;B组腰麻用重比重0.5%布比卡因(0.75%布比卡因2 ml+10%葡萄糖液1 ml)7.5~10 mg。记录两组腰麻药麻醉效果和术中BP、HR、SpO2变化。麻醉效果包括麻醉平面控制、肌松、作用时间。结果 A组麻醉平面T6,术中各时点BP、HR、SpO2平稳;B组麻醉平面T6,术中各时点BP明显下降,HR明显减慢(P<0.01),也低于A组(P<0.05)。Bromage评分及新生儿Apgar评分无差别(P<0.01);两组不良反应无统计学意义。结论轻比重布比卡因腰-硬联合麻醉更适合于剖宫产患者。
Objective To compare the anesthetic effect of the equivalent dose of bupivacaine with light and heavy spinal fluid in cesarean section. Methods Sixty ASA Ⅰ or Ⅱ cesarean surgical patients were randomly divided into two groups, 30 cases in each group. A group of spinal anesthesia with light weight 0.125% bupivacaine (0.5% bupivacaine 2 ml + sterile water 6 ml) 7.5 ~ 10 mg; B group of spinal anesthesia with a high proportion of 0.5% bupivacaine (0.75% cloth Bicain 2 ml + 10% glucose solution 1 ml) 7.5 ~ 10 mg. The anesthetic effect and BP, HR, SpO2 changes of two groups were recorded. Anesthesia effects include anesthetic planar control, muscle relaxation, and duration of action. Results The level of anesthesia in group A was significantly higher than that in group A (P <0.01), while the levels of BP, HR and SpO2 in group A were stable at all time points. P <0.05). Bromage score and neonatal Apgar score no difference (P <0.01); two groups of adverse reactions was not statistically significant. Conclusion Light weight Bupivacaine combined with lumbar-hard anesthesia is more suitable for cesarean section patients.