罗哌卡因腰麻硬膜外联合麻醉在老年下肢手术中的效果观察

发布时间：2018-01-11 05:20

本文关键词：罗哌卡因腰麻硬膜外联合麻醉在老年下肢手术中的效果观察　出处：《数理医药学杂志》2016年10期 　论文类型：期刊论文

【摘要】：目的:对罗哌卡因腰硬联合麻醉在老年患者下肢手术中的临床效果及安全性进行探讨。方法:选择在腰硬联合麻醉下择期行下肢手术的老年患者90例,随机分为R组和B组,每组45例,R组患者给予注射0.75%的盐酸罗哌卡因1.2mL,B组患者注射0.75%的盐酸布比卡因1.2mL,麻醉实施后对两组患者的感觉、运动阻滞情况和不良反应进行观察。结果:两组患者麻醉后,在感觉阻滞起效时间、最高感觉阻滞平面、T12阻滞维持时间方面差异不显著(P0.05),但R组患者相比B组,其运动阻滞起效时间更长,最大Bromage评分更小,Bromage 1分的维持时间更短(P0.05);在不良反应发生率方面,两组患者比较差异不显著(P0.05)。结论:罗哌卡因腰硬联合麻醉用于老年下肢手术效果显著,不良反应小,值得临床推广使用。
[Abstract]:Objective: To evaluate the clinical effect of ropivacaine in combined spinal epidural anesthesia and safety in elderly patients undergoing lower extremity surgery were discussed. Methods: 90 elderly patients in combined spinal epidural anesthesia undergoing lower extremity surgery were randomly divided into R group and B group, 45 cases in each group, group R was treated with 0.75% hydrochloric acid injection ropivacaine 1.2mL, B group were injected 0.75% bupivacaine hydrochloride 1.2mL anesthesia in the two groups of patients feel after the implementation of motor block and adverse reactions were observed. Results: two groups of patients after anesthesia, the onset time of sensory block, the highest sensory block plane, T12 block maintenance time difference was not significant (P0.05). But the patients in the R group compared with B group, the motor block onset time is longer, the maximum Bromage score of 1 points less, Bromage holding time shorter (P0.05); the incidence of adverse reactions in two groups were compared, the difference was not significant (P0.05) conclusion: The effect of ropivacaine combined spinal epidural anesthesia in the operation of the elderly and lower extremities is remarkable, and the adverse reaction is small. It is worth popularizing in clinical practice.

【作者单位】：新疆生产建设兵团第三师医院麻醉科;
【分类号】：R614
【正文快照】： 近年来,随着我国人口老龄化的加剧,老年患者下肢骨折发生率也逐渐增加。老年患者因生理退行性改变,导致生理功能出现衰退,对麻醉的耐受能力逐渐减弱[1]。目前,腰麻硬膜外联合麻醉(CSEA)作为一种新型的椎管麻醉方式,兼有腰麻和硬膜外麻醉的双重优点,在麻醉过程中不仅用量较少,

【相似文献】