罗哌卡因用于分娩镇痛后转剖宫产手术硬膜外麻醉的效果观察及护理

[目的]探讨罗哌卡因用于分娩镇痛后转剖宫产手术硬膜外麻醉的效果观察及护理。[方法]将60例分娩镇痛后转剖宫产产妇随机分为A组和B组，每组30例，A组给予2％利多卡因，B组给予0．75％罗哌卡因行连续硬膜外麻醉。比较两组产妇感觉阻滞起效时间、切皮和术中镇痛效果、不良反应发生情况。[结果]B组产妇切皮时和术中疼痛视觉模拟评分法（VAS）评分低于A组，差异有统计学意义（P〈0．01）；两组感觉阻滞起效时间和不良反应发生率比较，差异无统计学意义（P〉0．05）。[结论]0．75％罗哌卡因应用于分娩镇痛后转剖宫产硬膜外镇痛效果优于2％利多卡因。

Observation on effect of ropivacaine used for labor analgesia turn into epidural anesthesia of cesarean section surgery and nursing of it

Objective：To probe into observation on effect of ropivacaine used for labor analgesia turn into epidural anesthesia of cesarean section surgery and nursing of it. Methods：A total of 60 cases of puerpera received labor an- algesia turn cesarean section were randomly divided into group A and group B,30 cases in each,group A patients were given 2% lidocaine,group B patients received continuous epidural anesthesia with 0. 75 % ropivacaine. Sensory block onset time,incision and intraoperative analgesic effect, occurrence of adverse events were compared between both groups. Results：The score of pain visual analog scale of the group B maternal was lower than that of group A maternal when incision and during operation,the difference was statistically significant （P〈0. 01）; there was no statistically significant difference in sensory block onset time and incidence of adverse reactions between both groups（P〉0.05）. Conclusion： The effect of 0.75% ropivacaine used in the labor analgesia turn cesarean section epidural analgesia is better than that of 2 G lidocaine.