Clinical analysis of hemodynamics and anesthesia quality in pregnant women undergoing cesarean section under combined spinal-epidural anesthesia with ropivacaine

Abstract

Objective To analyze the quality of anesthesia and hemodynamics of combined spinal-epidural anesthesia with ropivacaine for pregnant women taking cesarean section. Methods The clinical data of 98 pregnant women taking spinal and epidural anesthesia with ropivacaine for cesarean section were retrospectively analyzed. The women were divided into a control group and an observation group according to the dosage of ropivacaine. The control group accounted for 45.92% (45/98), and used 1.5 ml 1% ropivacaine; and the observation group accounted for 54.08% (53/98), and used 1.0 ml 1% ropivacaine. The heart rate and mean arterial pressure at two different time points were compared between these two groups. The onset time, motor block time, recovery time of anesthesia plane, and satisfaction of muscle relaxation were used as the observation indicators of anesthesia quality. Results In the observation group, the heart rate after delivery of the fetus was slower and the mean arterial pressure was higher than those in the control group (P 0.05). Conclusions Combined spinal-epidural anesthesia with a low dose of ropivacaine for cesarean section pregnant women has better anesthesia quality and can reduce the impact on hemodynamics, so it is worth for clinical study. Key words: Caesarean section; Ropivacaine; Combined spinal-epidural anesthesia; Hemodynamics; Anesthesia quality