小剂量罗哌卡因用于高龄患者经尿道前列腺电切的临床研究  

Clinical research of small dosage ropivacaine for elderly patients with TURP surgery

作　　者：杨晓凌[1] 梁吉文[1] 

机构地区：[1]兰州市第二人民医院麻醉科,甘肃兰州730046

出　　处：《甘肃医药》2012年第5期341-343,共3页Gansu Medical Journal

摘　　要：目的:观查重比重小剂量罗哌卡因用于高龄患者经尿道前列腺电切术(TURP)的临床效果和安全性。方法:选择75岁以上ASAⅡ-ⅢASA行TURP手术的患者80例采用随机抽签分成连续硬膜外组(ESA)和重比重小剂量腰麻组(SA),每组40例。SA组给予0.5%重比重罗哌卡因7.5mg(0.75%罗哌卡因2ml+10%葡萄糖1ml=3ml取1.5m)l后立即给予膀胱截石位,观察麻醉前(T0)、麻醉后5min(T1)、10min(T2)、15min(T3)、20min(T4)、30min(T5)及术毕时(T6)1内的SBP、DBP、MAP、HR、SpO2。结果:术中血流动力学平稳,无并发症发生。结论:重比重小剂量罗哌卡因用于高龄患者TURP麻醉效果满意、确切。对血流学影响小,用于临床安全、可行。Objective：To observe clinical efficacy and safety of high solution and small dosage mpivacaine in elderly patients with transurethral resection of the prostate （TURP）. Methods： 80 patients over 75 yeats old and ASA Ⅱ-Ⅲ with TURP by the randomly drawing lots were divided into continuous epidural anesthesia group（ESA） and high solution small dosage spinal anesthesia group （SA）, which was 40 examples of each group. SA group were given 0..5%ropivacaine 7.5 mg （0.75% ropivacaine 2ml ＋10%glucose lml ） in which SBP, DBP, MAP, HR, SpO2 were recorded before the anaesthesia （T0）, at 5min （T,）, 10min （To）, 15min （T3）, 20min （T4）, 30min （T5）,after injecting ropivacaine and at the end of surgery. Results： The change of circulation was stable and there was no complication. Conclusion：High solution small dosage ropivacaine has satisfying effect for TURP surgery,which can be the clinical safe,feasible and stable circulation.

关 键 词：重比重小剂量-腰麻 高龄 罗哌卡因 截石位 TURP 

分 类 号：R697.32[医药卫生—泌尿科学]