| 0.75%罗哌卡因在剖宫产手术三种麻醉方法中效果比较 |
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| 引用本文： | 王从夺,杨恒.0.75%罗哌卡因在剖宫产手术三种麻醉方法中效果比较[J].临床医学,2009,29(10):24-25. |
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| 作者姓名： | 王从夺 杨恒 |
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| 作者单位： | 1. 安徽省长丰县人民医院麻醉科,长丰,231100
2. 安徽省芜湖市弋矶山医院麻醉科 |
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| 摘 要： | 目的比较0．75％罗哌卡因应用于连续硬膜外麻醉、腰-硬联合麻醉、单次硬膜外麻醉在剖宫产手术中的效果。方法选择单胎初产患者120例，随机分为三组，A组连续硬膜外组，B组腰-硬联合麻醉组，C组单次硬膜外组。术中观察平均动脉压、心率、血氧饱和度，记录麻醉镇痛效果和肌松满意度，起效时间及术中、术后并发症。结果三组患者平均动脉压、心率、血氧饱和度比较差异无统计学意义（P〉0．05）。C组患者麻醉效果最好，满意率100％，B组次之，A组最差；起效时间，B组最快，C组次之，A组最慢，A组与B、C间差异有统计学意义。术中、术后并发症：A组有低血压1例，恶心呕吐2例；B组有低血压4例，恶心、呕吐5例，术后头痛2例；C组低血压1例。三组患者均无全脊髓麻发生。结论0．75％罗哌卡因结合单次硬膜外麻醉用于剖宫产手术是最好的麻醉方案。
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| 关 键 词： | 罗哌卡因 剖宫产 连续硬膜外麻醉 腰-硬联合麻醉 单次硬膜外麻醉 |
Comparison of 0.75% ropivacaine used in continuous epidural,combined spinal-epidural and a single epidural anesthesia in cesarean section |
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| WANG Congduo,YANG Heng.Comparison of 0.75% ropivacaine used in continuous epidural,combined spinal-epidural and a single epidural anesthesia in cesarean section[J].Clinical Medicine,2009,29(10):24-25. |
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| Authors: | WANG Congduo YANG Heng |
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| Institution: | WANG Congduo1),YANG Heng2).1) Department of Anesthesia,People's Hospital of Changfeng County,Changfeng 231100,China,2) Department of Anesthesia,Yijishan Hospital,Wannan Medical College |
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| Abstract: | Objective Comparison of 0.75% ropivacaine used in continuous epidural anesthesia,combined spinal-epidural anesthesia,a single epidural anesthesia in cesarean section the effect of surgery.Methods Choose a single early fetal production 120 cases of patients were randomly divided into three groups,group A of continuous epidural group,group B of combined spinal-epidural anesthesia,group C single epidural group.Intraoperative observation of mean arterial pressure,heart rate,oxygen saturation,records of narcotic... |
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| Keywords: | Ropivouaine Cesarean section Continuous epidural onesthesia Combined spinal-epidural anesthesia Single epiolural anesthesia |
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