0.25%罗哌卡因2.0mL蛛网膜下腔阻滞麻醉行肛周手术的效果评价

发布时间：2018-06-13 22:03

本文选题：罗哌卡因 + 蛛网膜下腔阻滞麻醉　；参考：《临床医学工程》2016年11期

【摘要】：目的探讨0.25%罗哌卡因2.0 m L蛛网膜下腔阻滞麻醉行肛周手术的临床效果。方法选取我院2013年1月至2015年12月行肛周手术的患者96例,均选择蛛网膜下腔阻滞麻醉,随机分为研究组和对照组各48例。对照组采用0.75%罗哌卡因2.0 m L,研究组采用0.25%罗哌卡因2.0 m L。比较两组患者的麻醉起效时间、麻醉效果、不同时间点血压、心率的变化情况及并发症发生率。结果两组感觉阻滞起效时间比较差异无统计学意义(P0.05);相比于对照组,研究组的运动阻滞起效时间延长(P0.05);两组的不同时间点的收缩压(SBP)、舒张压(DBP)、心率(HR)以及麻醉优良率比较差异无统计学意义(P0.05);研究组的尿潴留发生率低于对照组(P0.05)。结论 0.25%罗哌卡因2.0 m L蛛网膜下腔阻滞麻醉行肛周手术麻醉效果确切,能保证麻醉效果,下肢运动神经阻滞轻,降低尿储留发生率。
[Abstract]:Objective to investigate the clinical effect of 0.25% ropivacaine 2.0 mL subarachnoid block anesthesia for perianal surgery. Methods 96 patients undergoing perianal operation from January 2013 to December 2015 were randomly divided into study group (n = 48) and control group (n = 48) with subarachnoid block anesthesia. The control group was treated with 0.75% ropivacaine 2.0 mL and the study group with 0.25% ropivacaine 2.0 mL. The onset time, anaesthesia effect, blood pressure, heart rate and incidence of complications were compared between the two groups. Results there was no significant difference in the onset time of sensory block between the two groups (P 0.05), and there was no significant difference between the two groups compared with the control group. There was no significant difference in the onset time of motor block between two groups (SBP, DBP, HRR) and the rate of excellent and good anesthesia (P 0.05). The incidence of urinary retention in the study group was lower than that in the control group (P 0.05). Conclusion 0.25% ropivacaine 2.0 mL subarachnoid block anesthesia is effective in perianal operation and can ensure the anaesthesia effect, lower extremity motor nerve block is light, and the incidence of urinary retention is reduced.
【作者单位】：广东省潮州市中心医院麻醉科;
【分类号】：R614

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