Clinical observation on ropivacaine and bupivacaine for cesarean section in combined spinal -epidural ;anesthesia

VernacularTitle:罗派卡因与布比卡因用于剖宫产腰-硬联合麻醉的效果比较
Author: Youyong CHEN ; Bo ZHANG ; Yu ZHANG ; Bin YE ; Yixiong WANG
Keywords: Cesarean section; Ropivacaine; Anesthesia,combined; Supine hypotension syndrome
From: Chinese Journal of Primary Medicine and Pharmacy 2017;24(3):415-417
CountryChina
Language:Chinese
Abstract: Objective To compare the anesthetic effect of ropivacaine and bupivacaine in combined spinal-epidural anesthesia(CSEA)for cesarean section,and their influence on the incidence rate of supine hypotension syndrome(SHS).Methods 200 patients with cesarean section surgery in our hospital from February 2016 to July 2016 were randomly divided into observation group and control group,all of cases were given CSEA.100 patients in the observation group(the group L)were given ropivacaine in spinal anesthesia,the other 100 patients in the control group(the group B)were given bupivacane in spinal anesthesia.Recorded the relevant indicators,compared the incidence rate of SHS,the effect of anesthesia and neonatal score.Results The incidence rate of SHS of the group L was lower than the group B(χ2 =9.261,P<0.01).The effect of anesthesia and Apgar score of two groups had no statistically significant differences(all P>0.05).Conclusion The application of ropivacaine in CSEA for cesarean section not only has exact anesthesia effect,but also can effectively prevent SHS without any side effects.