摘要
目的:比较不同浓度布比卡因腰硬联合麻醉行剖宫产术的临床效果。方法:58例采用腰硬联合麻醉行剖宫产术产妇随机分3组。A组(n=18):腰麻用药为0.375%布比卡因等比重液2 ml;B组(n=20):腰麻用药为0.25%布比卡因等比重液2 ml;C组(n=20):腰麻用药为0.188%布比卡因等比重液2 ml。比较3组麻醉起效时间、麻醉效果及血压情况。结果:A、B组麻醉起效时间及麻醉效果相似(P>0.05),C组较A、B组起效时间延长、麻醉效果差(P<0.05);B组术中血压较A组平稳(P<0.05)。结论:0.25%布比卡因等比重液2 ml腰硬联合麻醉行剖宫产术起效快,作用完全,血流动力学稳定。
Objective： To compare the clinical effect of different concentrations of bupivacaine in epidural anesthesia of cesarean section.Methods： Fifty-eight patients applied cesarean section in epidural anesthesia were randomly divided into three groups.Group A（n=18） was used 2 ml of 0.375% bupivacaine isobaric solution in epidural anesthesia;group B（n=20） was used 2 ml of 0.25% bupivacaine isobaric solution in epidural anesthesia;group C（n=20） was used 2 ml of 0.188% bupivacaine isobaric solution in epidural anesthesia.The onset time of anesthesia,anesthetic effect and blood pressure of 3 groups were compared.Results： The onset time and the anesthetic effect were similar in group A,B（P0.05）;the onset time of group C was more prolonged than that of group A,B（P0.05）;compared with group A,the blood pressure was more stable in group B（P0.05）.Conclusion： The 0.25% bupivacaine isobaric solution 2 ml for cesarean section in epidural anesthesia was more rapid at onset time,more complete at effectiveness and more hemodynamically stable.
出处
《现代医学》
2011年第5期545-547,共3页
Modern Medical Journal
