用不同浓度的罗哌卡因对行妇科手术的患者实施麻醉的效果对比

发布时间：2018-01-09 04:01

本文关键词：用不同浓度的罗哌卡因对行妇科手术的患者实施麻醉的效果对比　出处：《当代医药论丛》2016年01期 　论文类型：期刊论文

更多相关文章： 妇科手术 麻醉 罗哌卡因 不同浓度 效果

【摘要】：目的 :对比用不同浓度的罗哌卡因对进行妇科手术的患者实施麻醉的临床效果。方法 :对近年来在我院进行妇科手术的78例患者的临床资料进行回顾性研究。我们将这78例患者随机分为观察组和对照组,每组各有39例患者。在这两组患者进行手术时,我院使用浓度为0.5%的罗哌卡因对观察组患者进行麻醉,使用浓度为0.75%的罗哌卡因对对照组患者进行麻醉,两组患者罗哌卡因的用量和用法完全相同。手术结束后,比较两组患者麻醉前、麻醉起效后、手术中、手术后的心率、舒张压、收缩压以及手术的用时、最高的感觉阻滞平面、麻醉毕至感觉阻滞起效的时间、麻醉毕至最高感觉阻滞平面固定的时间和麻醉毕至第一次硬膜外加药的时间。结果 :观察组患者麻醉起效后、手术中及手术后的心率、舒张压和收缩压均明显优于对照组患者,其手术的用时、麻醉毕至感觉阻滞起效的时间、麻醉毕至最高感觉阻滞平面固定的时间和麻醉毕至第一次硬膜外加药的时间均明显短于对照组患者,其最高的感觉阻滞平面明显低于对照组患者,二者相比差异具有显著性(P0.05)。结论 :与使用浓度为0.75%的罗哌卡因相比,用浓度为0.5%的罗哌卡因对进行妇科手术的患者实施麻醉其效果更好、安全性更高、起效时间更快。因此,使用浓度为0.5%的罗哌卡因进行麻醉可作为进行妇科手术的患者优选的麻醉方法。
[Abstract]:Objective: the clinical effects of anesthesia for gynecological surgery patients with different concentrations of ropivacaine with contrast. Methods: the clinical data of 78 cases of gynecologic surgery in recent years in our hospital were retrospectively analyzed. The 78 patients were randomly divided into observation group and control group, 39 patients in each group. In the two groups of patients undergoing surgery in our hospital, using concentration of 0.5% ropivacaine on patients in the observation group were anesthetized with concentration of 0.75% ropivacaine on the patients in the control group were anesthetized, dosage and usage of two groups of patients with exactly the same. After the surgery, compared two groups of patients before anesthesia, after the onset of anesthesia. During the operation, postoperative heart rate, diastolic blood pressure, systolic blood pressure and operation time, the highest level of sensory block anesthesia, to complete sensory block onset time, anesthesia to complete the highest level of sensory block fixed The time to complete the first dosing and anesthesia epidural time. Results: the patients in the observation group after the onset of anesthesia, intraoperative and postoperative heart rate, diastolic blood pressure and systolic blood pressure were significantly better than the control group, the surgery time, anesthesia to complete sensory block onset time, anesthesia to complete the highest feeling block plane fixed time and anesthesia to complete the first epidural dosing time were significantly shorter than the control group, the highest level of sensory block was significantly lower than the control group patients, compared with the two difference was significant (P0.05). Conclusion: compared with the concentration of 0.75% ropivacaine, with 0.5% ropivacaine for gynecological surgery patients anesthesia and its effect is better, higher security, faster onset time. Therefore, using concentration of 0.5% ropivacaine anesthesia can be used as the preferred in patients with gynecological surgery. Method.

【作者单位】：晋宁县第二人民医院;
【分类号】：R614
【正文快照】： 进行手术治疗是临床上治疗妇科疾病的主要方法。临床研究发现,确保妇科手术成功的关键是在手术过程中对患者进行安全有效的麻醉。罗哌卡因是临床上对进行妇科手术的患者实施麻醉的常用药。不过,使用何种浓度的罗哌卡因对进行妇科手术的患者实施麻醉的效果最好在临床上存在一定

【相似文献】