罗哌卡因复合芬太尼在老年膝关节置换手术腰硬联合麻醉中的应用效果

发布时间：2018-03-14 05:05

本文选题：罗哌卡因　切入点：布比卡因　出处：《中国老年学杂志》2017年23期 　论文类型：期刊论文

【摘要】：目的探讨罗哌卡因复合芬太尼与布比卡因复合芬太尼在老年膝关节置换手术腰硬联合麻醉患者中的应用效果。方法将60例择期行膝关节置换手术的老年患者随机分为罗哌卡因复合芬太尼组(RF组)与布比卡因复合芬太尼组(BF组)。RF组:0.75%罗哌卡因2 ml+芬太尼1 ml(25μg),BF组:0.50%布比卡因2 ml+芬太尼1 ml(25μg)。观察两组感觉、运动阻滞效果,麻醉前后的血流动力学变化及并发症。结果 RF组感觉阻滞达到最高阻滞平面时间明显长于BF组(P0.01);RF组运动阻滞起效时间长、恢复时间短,运动阻滞恢复时间较感觉阻滞恢复时间短,Bromage评级效果更好(均P0.05);BF组较RF组血流动力学变化更明显(P0.05)。结论罗哌卡因复合芬太尼在老年膝关节置换手术腰硬联合中对血流动力学影响小,感觉阻滞充分,运动阻滞恢复快。
[Abstract]:Objective to investigate the effect of ropivacaine combined with fentanyl and bupivacaine combined with fentanyl on spinal and epidural anesthesia in elderly patients undergoing knee arthroplasty. The rats were divided into ropivacaine plus fentanyl group (RF group) and bupivacaine plus fentanyl group (BF group: 0.75% ropivacaine 2 ml fentanyl 2 ml fentanyl 1 ml(25 / g BF group: 0. 50% bupivacaine 2 ml fentanyl 1 ml(25 渭 g). Results the maximum block time in RF group was longer than that in BF group (P 0.01) and the recovery time was shorter in RF group. The recovery time of motor block was shorter than that of sensory block. Bromage rating was better than that of sensory block. Conclusion ropivacaine combined with fentanyl in the spinal and epidural union of knee arthroplasty in elderly patients is more obvious than that in RF group. Hemodynamic effects are small, Sensory block is sufficient and motor block recovers quickly.
【作者单位】：吉林大学白求恩第一医院麻醉科;
【分类号】：R614

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