盐酸利多卡因复合甲磺酸罗哌卡因骶管麻醉用于肛周手术的临床观察  

Clinical Observation on Lidocaine Hydrochloride Mixed with Ropivacaine Mesilate for Sacral Anesthesia in Perianal Surgery

作　　者：郭大为[1] 赵长策[1] 田小禹 陶磊[1] 

机构地区：[1]辽宁省沈阳市肛肠医院,辽宁沈阳110002

出　　处：《中国肛肠病杂志》2014年第1期53-54,共2页Chinese Journal of Coloproctology

摘　　要：为观察盐酸利多卡因复合甲磺酸罗哌卡因骶管麻醉用于肛周手术的合适剂量及影响因素，将90例肛肠病手术患者随机分为A、B两组，A组（2％盐酸利多卡因7．5ml复合0．898％甲磺酸罗哌卡因7．5ml）和B组（2％盐酸利多卡因5ml复合0．898％甲磺酸罗哌卡因5ml），每组45例。结果显示，A组阻滞完善时间短于B组，骶管麻醉20rain后麻醉平面高于B组，麻醉维持时间长于B组，患者满意度高于B组（P〈0．05）。两组最大运动评分比较差异无统计学意义（P〉0．05）。两组间低血压、心动过缓、恶心呕吐、直肠牵拉反应、术后排尿情况的比较差异均无统计学意义（P〉0．05）。骶管麻醉20min后麻醉平面与局麻药剂量有关，与身高、体重无关。结果表明，盐酸利多卡因复合甲磺酸罗哌卡因15ml骶管麻醉用于肛周手术，麻醉效果好，不良反应少。This study was to observe the proper dose of lidocaine hydrochloride mixed with ropivacaine me- sylate for sacral anesthesia in perianal surgery and its influential factors. The 90 cases to be subjected to this surgery were randomly divided into two groups,group A（7.5ml of 2% lidocaine hydrochloride mixed with 7.5ml of 0. 898% ropivacaine mesylate） and group B（5ml of 2% lidocaine hydrochloride mixed with 5ml of 0. 898% ropivacaine mesylate） ,45 cases for each group. The results showed that group A had shor- ter time to complete block, higher level of anesthesia at 20min after sacral anesthesia,longer anesthesia ma- intenance time,and higher patient＇s satisfaction than group B（ P〈0.05）. There was no significant differ- ence between two groups in maximum motion score,low blood pressure, bradycardia, nausea and vomiting, rectal traction reaction,postoperative urination（ P〉0.05）. The level of anesthesia at 20min after sacral anesthesia was related with the dosage of local anesthetics, but not with the height and weight of patients. It is concluded that 15ml of lidocaine hydrochloride mixed with ropivacaine mesylate has a better effect in perianal surgery with less adverse reactions.

关 键 词：肛周疾病 骶管麻醉 手术 

分 类 号：R927.2[医药卫生—药学]