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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5 min和7 min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5 min、7 min、10 min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。
Objective: To investigate the effects of subarachnoid levobupivacaine and bupivacaine on caesarean section during anesthesia. Methods: From March 2012 to March 2013 in our hospital during cesarean section in 60 cases of maternal as the research object. Randomly divided into levobupivacaine group and bupivacaine group, the two groups of patients were observed anesthesia and postoperative adverse reactions. Results: The MAP values at 5 and 7 minutes after anesthesia with levobupivacaine and bupivacaine in cesarean section were statistically different from those before anesthesia (P <0.05). The sub-subarachnoid anesthesia of levobupivacaine and bupivacaine anesthesia 5 min, 7 min, 10 min and 15 min HR value difference was statistically significant (P <0.05). The difference between Bromage score 0 and time after anesthesia incision sensation pain was statistically significant (P <0.05) after levobupivacaine and bupivacaine were injected into the subarachnoid space. There was no significant difference in the incidence of adverse reactions after levobupivacaine and bupivacaine anesthesia (P> 0.05). CONCLUSION: Bupivacaine anesthesia is better than levobupivacaine in cesarean section anesthesia. Clinically, anesthesia should be performed with bupivacaine during abdomen operation such as cesarean section.