Comparison of the effect among different proportion of local anesthetic spinal anesthesia in cesarean section

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Author:
SONG Rui-feng(Department of Anesthesiology, the Affiliated Hospital of Shanxi Medical University, Taiyuan , Shanxi 030001, China)
CHEN Qiao(Department of Anesthesiology, the Affiliated Hospital of Shanxi Medical University, Taiyuan , Shanxi 030001, China)
QU Yuan()
WANG Jian-hua()
Journal Title:
Chinese Journal of Primary Medicine and Pharmacy
Issue:
Volume 19, Issue 20, 2012
DOI:
10.3760/cma.j.issn.1008-6706.2012.20.010
Key Word:
Bupivacaine ; Cesarean section ; Anesthesis, spinal ; Hypobaric ; Isobaric ; Hyperbaric

Abstract: Objective To explore the advantages and disadvantages of different local anesthetic subarachnoid block in patients with cesarean section.Methods 120 patients to be in the spinal-epidural cesarean section down,were randomly divided into 3 groups(n =40):lighter than restructuring( Q group),so the proportion of(D),heavy weight ( Z group).Q Group:0.75 % bupivacaine 2ml + sterile water for injection 1ml,D group:0.75 % bupivacaine 2ml + CSF 1 ml,Z group:0.75% bupivacaine 2ml + 10% glucose,1 ml,2ml of each group were given(10mg).Characteristics in each group anesthesia,blood pressure,heart rate,complications and postoperative neurological effects were observed.Results Three groups made the same anesthesia,patients satisfaction with anesthesia had no significant difference.Z group was significantly improved compared with block group D and Q group( t =8.3,7.3,all P < 0.05 ),Z group was the highest plane analgesia group than the high D and Q,Z group was significantly longer than the duration of sensory block and Q group(P <0.05),Z group and D duration of sensory block had no significant difference.Z group was significantly greater than the impact of the cycle Q and D groups.Anesthesia hypotension,nausea and vomiting,weight was significantly lighter than the restructuring,such as the proportion of high group.Conclusion Cesarean section in the three groups in the proportion of different local anesthetic achieved the same anesthesia,and spinal anesthesia and other medication had the proportion of liquid single,and it was relatively simple,safe and more suitable for cesarean section anesthesia.

  • [1]贾杰,余守章,胡祖荣,等.舒芬太尼对剖宫产罗哌卡因蛛网膜下腔阻滞效应的影响.中国医药,2009,4(12):955-957.
  • [2]戴铁军,李海红.不同局部麻醉药硬膜外腔阻滞麻醉用于剖宫产术的效果比较.中国基层医药,2011,18(13):1772-1773.
  • [3]赵波.不同方法腰-硬联合麻醉在剖官产术的应用比较.中国实用医刊,2011,38(15):100-101.
  • [4]徐晓栋,胡利萍,方才.腰椎蛛网膜下腔联合硬膜外腔阻滞麻醉与连续硬膜外麻醉用于剖宫产术效果比较.中国基层医药,2011,18(10):1333-1334.
  • [5]葛寒冬,吴希媛.重比重与等比重布比卡因腰麻用于剖宫产的临床观察.医学理论与实践,2009,22(11):1347-1348.
  • [6]叶青山,王玲玲,郎淑惠,等.剖宫产术病人布比卡因-芬太尼等比重液蛛网膜下腔阻滞的效果.中华麻醉学杂志,2009,29(1):84-85.
  • [7]吉林,陈佩军,刘鹏,等.腰-硬联合麻醉在阴式子宫切除术中的应用.临床麻醉学杂志,2007,23(8):689-690.
  • [8]杨小磊,王利民,费建芬,等.腰-硬联合麻醉在剖宫产术的应用.临床麻醉学杂志,2007,23(4):333-334.
  • [9]Malinovsky JM,Renaud G,LeCorre P,et al.Intrathecal bupivacaine in humans:influence of volume and baricity of solutions.Anesthesiology,1999,91 (5):1260-1266.
  • [10]梁伟.等比重比和重比重比左旋布比卡因腰-硬联合麻醉在剖宫产术中的临床观察.中国实用医刊,2011,38(8):80-81.
  • [11]张玉杰,张丽体,陈宏莫.小剂量比重布比卡因腰硬联合麻醉在高龄患者尿道前列腺电切术中的应用.河北医药,2011,33(1):67-68.
  • [12]胡建英,黄绍强,梁伟民,等.剖宫产术患者蛛网膜下腔注射不同等比重局麻药的药效学.中华麻醉学杂志,2010,30(7):855-857.
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