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目的 :观察罗哌卡因用于腰麻下剖宫产对心血管系统的影响。方法 :将 80例剖宫产病例随机分为两组 ,Ⅰ组用 0 75 %罗哌卡因 1 6ml+ 10 %GS1 4ml;Ⅱ组用 0 75 %布比卡因 1ml + 10 %GS2ml行蛛网膜下腔阻滞。观察感觉和运动阻滞情况、BP、HR、RR和新生儿Apgar评分。结果 :两组产妇感觉和运动阻滞的起效时间、最高阻滞平面、感觉阻滞持续时间、低血压的发生率、Apgar评分无显著性差异。最大运动阻滞时间Ⅰ组晚于Ⅱ组。运动阻滞持续时间Ⅰ组短于Ⅱ组。结论 :等效剂量罗哌卡因用于腰麻下剖宫产对心血管系统影响与布比卡因相似 ,无显著性差异
Objective: To observe the effect of ropivacaine on cardiovascular system in cesarean section under spinal anesthesia. Methods: Eighty cases of cesarean section were randomly divided into two groups. Group Ⅰ was treated with 0 75% ropivacaine 16ml + 10% GS1 4ml; group Ⅱ was treated with 0 75% bupivacaine 1ml + 10% GS2ml Lower chamber block. Sensory and motor blockage, BP, HR, RR, and neonatal Apgar scores were observed. Results: There was no significant difference in onset time, maximum blockal plane, duration of sensory block, incidence of hypotension and Apgar score between maternal sensory and motor block. The maximum block time in group Ⅰ was later than in group Ⅱ. The duration of motor block in group Ⅰ was shorter than that in group Ⅱ. CONCLUSIONS: The effect of equivalent dose of ropivacaine on corticosteroid in cessation of spinal anesthesia in spinal anesthesia was similar to that of bupivacaine, with no significant difference