王建 郑伟

[摘要] 目的 探究产科麻醉中应用罗哌卡因的临床疗效。 方法 方便选取2018年9月—2019年9月该院收治的134例行子宫下剖宫产手术的产妇作为调查对象，按照随机分组法，分为观察组与对照组，每组患者67例。所有患者实施硬膜外穿刺麻醉，对照组采取布比卡因联合麻醉，观察组予以罗哌卡因药物联合麻醉。收集两组患者术中、术后临床资料，比较数据指标，开展回顾性分析。结果 观察组的运动恢复时间为（29.8±4.2）min、感觉恢复时间为（23.7±2.8）min;对照组运动恢复时间为（35.4±4.5）min、感觉恢复时间为（28.9±3.5）min，差异有统计学意义（t=6.457、6.923，P<0.05）;观察组患者术后镇静、VAS疼痛评分等各项预后评分优于对照组，差异有统计学意义（P<0.05）。结论 在产科麻醉中给予患者罗哌卡因进行药物麻醉，能够有效提升手术治疗效果，稳定患者状态，安全性高，无不良药物反应。还能够改善预后，减轻患者术后止痛需求，有助于术后早日康复，建议临床推广应用。

[关键词] 产科麻醉;罗哌卡因;布比卡因;腰硬外麻醉

[Abstract] Objective To explore the clinical efficacy of ropivacaine in obstetric anesthesia. Methods The 134 women who underwent cesarean section who were admitted to the hospital from September 2018 to September 2019 are convenient scelection now taken as the survey objects. According to the random grouping method， they are divided into observation group and control group， with 67 patients in each group. All patients underwent epidural anesthesia. The control group was anesthetized with bupivacaine and the observation group was anesthetized with ropivacaine. Collect intraoperative and postoperative clinical data of two groups of patients， compare data indicators， and conduct retrospective analysis. Results The most obvious exercise recovery time in the observation group was （29.8±4.2）min， and the sensory recovery time was （23.7±2.8）min; in the control group， the exercise recovery time was（35.4±4.5）min， and the sensory recovery time was （28.9±3.5）min，and the differences were statistically significant（t=6.457、6.923 P<0.05）; the prognostic scores of patients in the observation group after operation， such as sedation and VAS pain score， were better than those in the control group， and the differences were statistically significant （P<0.05）. Conclusion Drug anesthesia given to ropivacaine in obstetric anesthesia can effectively improve the effect of surgical treatment， stabilize the patient's state， high safety， and no adverse drug reactions. It can also improve the prognosis， reduce the need for postoperative pain relief， and help early recovery after surgery. It is recommended to promote clinical application.

[Key words] Obstetric anesthesia; Ropivacaine; Bupivacaine; Spinal epidural anesthesia

隨着医疗事业的逐步发展，医疗水平的提升，为了保障产妇的安全和产后恢复，剖宫产是常见的产科手术，这样一来不但能够减少顺产分娩的疼痛，而且大大降低了生产时风险[1]。腰硬联合麻醉是在硬膜外行针刺麻醉的基础上使用药物麻醉稳定患者手术状态，是现如今最常用的麻醉方式，由于产妇和婴儿体质问题，大量注射药物麻醉是不现实的，腰硬联合麻醉对麻醉的用药量及麻醉效果都有保证，不会对产妇和婴儿有神经性影响[2]。但是由于不同麻醉药物的麻醉和镇痛效果不同，该文现将2018年9月—2019年9月该院收治的134例行子宫下剖宫产手术的产妇作为调查对象，分析罗哌卡因药物麻醉对患者的临床效果，报道如下。

1  资料与方法

1.1  一般资料

方便选取该院收治的134例行子宫下剖宫产手术的产妇作为调查对象，按照产妇手术顺序随机分为观察组与对照组，每组67例。……