FUERJIANKANGDAOKANVol.2No.15August20232023年8月第2卷第15期125·药物研究·不同剂量罗哌卡因腰硬联合麻醉用于剖宫产的效果比较张秋皎吴浩李洁琴广东省揭阳市第三人民医院麻醉科，广东揭阳522000[摘要]目的比较不同剂量罗哌卡因腰硬联合麻醉用于剖宫产的效果。方法选取2020年4月至2023年4月于揭阳市第三人民医院接受剖宫产手术的60例产妇作为研究对象，按照随机数字表法分为低剂量组（L组）和高剂量组（H组），每组各30例。两组均采用腰硬联合麻醉，L组予以10mg罗哌卡因，H组予以12.5mg罗哌卡因。比较两组麻醉起效时间、麻醉维持时间、血流动力学水平及麻醉优良率。结果两组麻醉起效时间、麻醉维持时间比较，差异无统计学意义（P>0.05）。两组麻醉前及麻醉后10min的平均动脉压、心率比较，差异无统计学意义（P>0.05）。两组麻醉优良率比较，差异无统计学意义（P>0.05）。结论10mg和12.5mg罗哌卡因均能有效应用于剖宫产腰硬联合麻醉，麻醉效果相当。[关键词]罗哌卡因；腰硬联合麻醉；剖宫产；不同剂量[中图分类号]R614[文献标识码]A[文章编号]2097-115X（2023）15-0125-03Comparisonoftheeffectofcombinedspinal-epiduralanesthesiawithdifferentdosesofRopivacaineforcesareansectionZHANGQiujiaoWUHaoLIJieqinDepartmentofAnesthesiology,theThirdPeople’sHospitalofJieyang,GuangdongProvince,Jieyang522000,China[Abstract]ObjectiveTocomparetheeffectofcombinedspinal-epiduralanesthesiawithdifferentdosesofRopivacaineforcesareansection.MethodsAtotalof60pregnantwomenwhounderwentcesareansectionintheThirdPeople’sHospitalofJieyangfromApril2020toApril2023wereselectedastheresearchobjects.Accordingtotherandomnumbertablemethod,theyweredividedintothelow-dosegroup(groupL)andthehigh-dosegroup(groupH),with30casesineachgroup.Bothgroupsweregivencombinedspinal-epiduralanesthesia.10mgRopivacainewasgiveningroupL,and12.5mgRopivacainewasgiveningroupH.Theonsettimeofanesthesia,thedurationofanesthesia,thehemodynamiclevelandtheexcellentandgoodrateofanesthesiawerecomparedbetweenthetwogroups.ResultsTherewasnosignificantdifferenceintheonsettimeandthedurationofanesthesiabetweenthetwogroups(P>0.05).Therewasnosignificantdifferenceinthemeanarterialpressureandheartratebeforeand10minafteranesth...
