盐酸罗哌卡因腰麻加硬膜外阻滞在肛周手术中的应用  

Application of Combined Lumbar and Epidural Block with Ropivacaine Hydrochloride in Perianal Operation

作　　者：伍玉哲[1] 

机构地区：[1]大连大学附属中山医院,辽宁大连116001

出　　处：《中国肛肠病杂志》2010年第3期39-40,共2页Chinese Journal of Coloproctology

摘　　要：为探讨盐酸罗哌卡因腰麻加硬膜外阻滞在肛周手术中的麻醉效果，将80例肛周手术患者随机分为两组，分别采用0．5％布比卡因（B组）和0．5%罗哌卡因（L组），施行腰麻加硬膜外阻滞用于肛周手术，观察两组患者感觉阻滞维持时间和麻醉效果。结果显示，两组患者麻醉效果满意率无明显差异，感觉阻滞时间L组明显长于B组。结果表明，0．5％罗哌卡因腰麻加硬膜外阻滞用于肛周手术具有良好的麻醉效果和安全性。The objective of this study was to investigate the anesthesia efficacy of combined lumbar and epidural block with ropivacaine hydrochloride in perianal operation. The 80 patients to be subjected to perianal operation were divided into two groups,B group and L group,all received the combined block for peri-anal operation;in B group with 0. 5% bupivacaine,in L group with 0. 5% ropivacaine hydrochloride. The block lasting time of sense and anesthesia efficacy in two groups were observed. As results, there was not significant difference in the satisfactory rate of anesthesia efficacy between both groups, and the block lasting time of sense in L group was longer than that in B group. Above results indicate that combined lumbar and epidural block with ropivacaine 0.5 % used in perianal operation has better anesthesia efficacy and safety.

关 键 词：肛肠疾病 盐酸罗哌卡因 麻醉 

分 类 号：R982[医药卫生—药品]