布比卡因与左旋布比卡因在剖宫产手术中麻醉效果比较

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1、·1482·现代生物医学进展www~hengwuyixue．comProgressinModernBiome~cmeVoL14NO．8MAR．2014doi：10．13241d．cnki．pmb．2014．08．022布比卡因与左旋布比卡因在剖宫产手术中麻醉效果比较术胡雅娟石海霞于建设都义日杜雪江杨雪琴△(1内蒙古医科大学附属医院麻醉科内蒙古呼和浩特010050；2宁夏回族自治区人民医院宁夏银川750021)摘要目的：探讨蛛网膜下腔注射左旋布比卡因和布比卡因对剖宫产手术中的麻醉效果。方法：选取2012

2、年3月到2013年3月期间在我院住院进行剖宫产手术产妇60例作为研究对象。随机分为左旋布比卡因组与布比卡因组，观察两组患者的麻醉效果以及术后不良反应的发生情况。结果：剖宫产手术中左旋布比卡因和布比卡因的蛛网膜下腔注射麻醉后的5min和7min后MAP值与麻醉前比较差异具有统计学意义(P<0．05)。左旋布比卡因和布比卡因的蛛网膜下腔注射麻醉后的5min、7min、10min以及15minHR值比较差异具有统计学意义(P<0．05)。左旋布比卡因和布比卡因的蛛网膜下腔注射麻醉后Bromage评分0分时间

3、和麻醉后切口感觉疼痛时间相比差异具有统计学意义(P<0．05)。左旋布比卡因和布比卡因麻醉后的不良反应的发生率比较差异无统计学意义(P>0．05)。结论：剖宫产手术麻醉中布比卡因的麻醉效果好于左旋布比卡因，临床上剖宫产等腹部手术应该选择布比卡因进行临床麻醉。关键词：剖宫产手术麻醉；布比卡因；左旋布比卡因；临床疗效中图分类号：R719．8，R614文献标识码：A文章编号：1673—6273(2014)08—1482—03ComparativeAnalysisOntheA』1estheticEf．fect

4、sofBupivacaineandLevVoObuUpDilvVacCai1neSbubarachnoildInjectilonsduringCesSareanSectilonOperaticon*HUYa-juan1,SHIHai-xial,YUJian—sheI,DUYi-nI,DUXue-jian~,YANGXue—qiflDeparnnentofAnesthesia,theHospitalAtIiliatedtotheInnerMongoliaMedicalUniversity,Hohhot,

5、InnerMongolia,010050,China；2TheNingxiaHuiAutonomousRegionpeople'sHospitalDepartmentofInternalMedicine,Yinchuan,Ningxia,750021，China)ABSTRACTObjective：Toobserveandcomparetheanesthesiaeffectsofbupivacaineandlevobupivacainesubarachnoidinjectionsduringtheop

6、erationofcesareansection．Methods：SixtycasesofparturientswhounderwentcesareansectionoperationinthehospitalbetweenMarch2012andMarch2013wereselectedasstudyobjects．Theywererandomlydividedintolevobupivacaineandbupivacainegroup．Theformerreceivedintrathecallev

7、obupivacaineforpreoperativeanesthesia，andthelatterwasgivensubarachnoidinjectionofbupivacaineanesthesiabeforetheoperation．Observationsweremadetobothgroupsintermsoftheanesthesiaefectsandtheoccurrenceofpostoperativeadversereactions．Results：Afterbupivacaine

8、andlevobupivacainesubarachnoidinjectionsforanesthesia，theMAPvaluesof5minand7minduringcesareansectionoperationwereofstatisticallysignificantdifferencewhencomparedwiththatbeforeanesthesia(P<0．05)．Therewerestatisticallysignificantdi