舒芬太尼联合盐酸罗哌卡因腰-硬联合麻醉在老年髋关节患者手术中的应用价值

发布时间：2018-02-13 13:45

本文关键词： 舒芬太尼盐酸罗哌卡因腰-硬联合麻醉老年髋关节手术　出处：《中国药物经济学》2016年05期 　论文类型：期刊论文

【摘要】：目的探讨舒芬太尼联合盐酸罗哌卡因腰-硬联合麻醉在老年髋关节患者手术中的应用价值。方法随机抽取在我院接受髋关节手术的老年患者50例,予以舒芬太尼联合盐酸罗哌卡因腰-硬联合麻醉,分析患者麻醉效果。结果 50例患者术中肌松效果良好,感觉阻滞效果高,疼痛轻,未使用静脉镇痛药。患者麻醉后血压较麻醉前降低(P0.05);但麻醉后血压各时点差异无统计学意义(P0.05);患者麻醉后SaO_2较麻醉前高(P0.05);麻醉后差异无统计学意义(P0.05);麻醉后心率与麻醉前相比,差异无统计学意义(P0.05)。患者术中未发生低血压、呼吸抑制情况,1例轻微恶心呕吐患者,未影响手术。结论对老年髋关节手术患者采取舒芬太尼联合盐酸罗哌卡因腰-硬联合麻醉,镇痛效果显著,无严重不良反应,安全有效。
[Abstract]:Objective to investigate the value of sufentanil combined with ropivacaine hydrochloride combined with epidural anesthesia in the operation of hip joint in elderly patients. Sufentanil combined with ropivacaine hydrochloride was given to analyze the anesthetic effect of 50 patients. Results the effect of muscle relaxation during operation was good, the effect of sensory block was high, and the pain was mild. No intravenous analgesics were used. The blood pressure after anesthesia was lower than that before anesthesia, but there was no significant difference in blood pressure at each time point after anesthesia. The SaO_2 after anesthesia was higher than that before anesthesia (P 0.05); the difference after anesthesia was not statistically significant (P 0.05); the heart rate after anesthesia was higher than that before anesthesia. There was no significant difference (P 0.05). There was no hypotension and respiratory depression in 1 patient with slight nausea and vomiting. Conclusion Sufentanil combined with ropivacaine hydrochloride combined with epidural anesthesia was used in elderly patients with hip joint surgery. Analgesic effect is remarkable, no serious adverse reaction, safe and effective.
【作者单位】：辽宁省营口市鲅鱼圈区同济医院;
【分类号】：R614

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