小剂量罗哌卡因腰-硬联合阻滞麻醉在老年患者髋关节置换术中的应用及安全评估

发布时间：2018-05-10 17:18

本文选题：小剂量 + 罗哌卡因　；参考：《中国现代药物应用》2016年02期

【摘要】：目的探讨小剂量罗哌卡因腰-硬联合阻滞麻醉在老年患者髋关节置换术中的应用效果及安全性。方法 90例接受髋关节置换术的老年骨折患者作为研究对象,将其随机分为A、B、C三组,各30例。分别注射0.15%、0.25%、0.50%的罗哌卡因。比较三组患者的麻醉效果与术后不良反应发生情况。结果 1麻醉前三组患者心率(HR)、血压(BP)、血氧饱和度(Sp O_2)比较,差异无统计学意义(P0.05);手术完毕后C组的HR、BP变化明显,且与A、B两组比较,差异具有统计学意义(P0.05);三组麻醉前后Sp O_2均无明显变化,差异无统计学意义(P0.05)。2 C组的运动阻滞恢复时间、术中出血量明显长/多于A、B两组,差异具有统计学意义(P0.05)。3三组患者术后不良反应发生率分别为16.67%、23.33%、60.00%,C组明显高于A、B两组,差异具有统计学意义(P0.05)。结论小剂量罗哌卡因腰-硬联合阻滞麻醉在老年患者髋关节置换术中的应用效果较好,对循环呼吸影响小,安全性高,值得推广应用。
[Abstract]:Objective to evaluate the efficacy and safety of low dose ropivacaine combined spinal-epidural anesthesia in hip arthroplasty in elderly patients. Methods 90 elderly patients with hip arthroplasty were randomly divided into three groups: group A (n = 30) and group C (n = 30). 0.15% ropivacaine 0.25% ropivacaine was injected respectively. The anaesthesia effect and postoperative adverse reaction were compared among the three groups. Results (1) there was no significant difference in HRP, BP and SPO _ 2 between the three groups before anesthesia, but the changes of HRBP in group C were significant after operation, and were compared with those in group A (P < 0.05), and compared with that in group A (P < 0.05), and the difference was significant between group C and group A (P < 0.05). There was no significant difference between the three groups before and after anesthesia, but there was no significant difference in the recovery time of motor block in group P0.052.2.2.The amount of intraoperative bleeding was significantly longer / more than that in group AMB, and there was no significant difference in the recovery time of motor block between the three groups before and after anesthesia, and there was no significant difference between the three groups before and after anesthesia. The incidence of postoperative adverse reactions in group C was significantly higher than that in group A (P 0.05), and the incidence of adverse reactions in group C was significantly higher than that in group C (P 0.05). Conclusion low dose ropivacaine combined spinal-epidural block anesthesia has a good effect on hip arthroplasty in elderly patients, has little effect on circulatory respiration, and is safe and worth popularizing.
【作者单位】：广东省韶关市翁源县人民医院麻醉科;
【分类号】：R614

【相似文献】