罗哌卡因腰麻-硬膜外联合麻醉在肛肠手术的临床价值分析  

Analysis of clinical value of ropivacaine combined with spinal-epidural anesthesia in anorectal surgery

作　　者：李维国 姚红霞 张子栋 刘建锋 

机构地区：[1]河北省故城县医院麻醉科,河北衡水253800 [2]河北省故城县医院重症医学科,河北衡水253800

出　　处：《实用临床医药杂志》2013年第3期100-102,共3页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(11220273)

摘　　要：目的探讨罗哌卡因腰麻-硬膜外联合麻醉在肛肠手术中的临床应用价值,并对其安全性进行评价。方法将本院择期行肛肠手术的80例患者随机分为罗哌卡因组和丁哌卡因组,每组40例,均选择腰麻-硬膜外联合麻醉方法,比较2组麻醉效果及麻醉满意度。结果 2组患者均未于硬膜外腔追加药物,且手术顺利完成;2组患者感觉阻滞起效时间、感觉阻滞持续时间和最大感觉阻滞平面无显著差异,但罗哌卡因组运动阻滞起效时间晚,最大运动阻滞程度低,2组差异有统计学意义;2组麻醉满意度无显著差异,均能满足手术的肌松要求。结论与丁哌卡因相比,罗哌卡因腰麻-硬膜外联合麻醉更加有助于肛肠手术患者术后恢复。Objective To explore the clinical value of ropivaeaine combined with spinalepidural anesthesia in anorectal surgery and to evaluate its safety. Methods Eighty patients conducted with selective anoreetal surgery were randomly divided into ropivacaine group and bupivacaine group, 40 cases in each group. Both groups received combined spinal - epidural anesthesia. The anesthetic effect and satisfaction of two groups were compared. Results None of the patients received additional drugs in epidural space, and the surgery was performed smoothly. The sensory block onset time, duration time and maximum sensory block plane of patients in two groups showed no significant difference, while in ropivacaine group, the motor block onset time was late and the maximum motor block degree was lower, and the difference between two groups showed statistical significance. The anesthetic satisfaction in two groups showed no significant difference, and all of the patients could meet the requirements of muscle loose. Conclusion Compared with bupivacaine, ropivaeaine combined with spinal - epidural anesthesia is more conductive to the postoperative recovery of patients conducted with anorectal surgery.

关 键 词：罗哌卡因 丁哌卡因 腰麻-硬膜外联合麻醉 肛肠手术 

分 类 号：R614[医药卫生—麻醉学]