硬膜外腔小剂量罗哌卡因用于高龄高危患者骨科下肢手术麻醉分析  

Effect of small dose of epidural anesthesia with ropivacaine on high-risk elderly patients with operation of lower limb in department of orthopedics

作　　者：张继晨[1] 

机构地区：[1]河南省新乡市中心医院麻醉科,453000

出　　处：《中国实用医刊》2016年第8期67-68,共2页Chinese Journal of Practical Medicine

摘　　要：目的：探讨硬膜外腔小剂量罗哌卡因用于高龄高危患者骨科下肢手术麻醉的临床效果。方法选取2012年9月至2014年11月收治的210例高龄高危下肢手术患者，对其临床资料进行系统的回顾分析。结果0.75%罗哌卡因组的高龄高危患者骨科下肢手术麻醉效果在多方面均优于0.894%罗哌卡因组和0.6%罗哌卡因组，包括麻醉起效时长、运动阻滞时间、感觉阻滞时间、BrOmaGe评分，组间比较差异有统计学意义（P﹤0.05）。0.75%罗哌卡因组骨科下肢手术麻醉的舒张压（DBP）、心率（HR）、脉搏血氧饱和度（ SPO2）、收缩压（ SBP）、BrOmaGe评分与0.894%罗哌卡因、0.6%罗哌卡因组相比具有明显的优势，组间比较差异有统计学意义（ P﹤0.05）。结论硬膜外腔0.75%罗哌卡因应用于高龄高危患者骨科下肢手术的麻醉有着显著的疗效，对我国在低位硬膜外麻醉方面的发展起到了至关重要的作用，具有深远的临床意义，值得临床实验和推广。objective To investigate the effect of small dose of epidural anesthesia With ropivacaine on high-risK elderly patients With operation of loWer limb in department of orthopedics. Methods From September 2012 to November 2014,the clinical data of 210 high-risK elderly patients With operation of loWer limb Were retrospectively analyzed. Results The anesthesia effect of loWer limb surgery in high-risK elderly patients of 0. 75% ropivacaine Were better than that of 0. 894% ropivacaine and 0. 6% ropivacaine,including the length of time of onset of anesthesia,the resistance movement lag time,sensory blocK time,Bromage score,there Were significant differences（P﹤0. 05）. 0. 75% ropivacaine group of loWer limb orthopedic surgery Was superior to 0. 894% ropivacaine group and 0. 6% ropivacaine group in DBP, hR,SPo2 ,SBP during anesthesia,there Were significant differences（ P﹤0. 05）. Conclusions Epidural 0. 75% ropiva-caine has significant effect on high-risK elderly patients With operation of loWer limb in department of orthopedics,and plays a crucial role on the development of epidural anesthesia,With far-reaching clinical significance,so it is Worthy of clinical trials and promotion.

关 键 词：罗哌卡因 硬膜外腔麻醉 骨科下肢手术 

分 类 号：R687.3[医药卫生—骨科学]