不同比重罗哌卡因腰麻在肛肠手术患者中的应用价值对比  

Comparison of the application value of different proportion ropivacaine spinal anesthesia in patients with anorectal surgery

作　　者：崔洋[1] 薛久巍 张琦[1] 曾婷[1] CUI Yang;XUE Jiuwei;ZHANG Qi;ZENG Ting(Department of Anesthesia,the Second Affiliated Hospital of Mudanjiang Medical College,Heilongjiang,Mudanjiang 157000,China;Department of Hematology,the Second Affiliated Hospital of Mudanjiang Medical College,Heilongjiang,Mudanjiang 157000,China)

机构地区：[1]牡丹江医学院第二附属医院麻醉科,黑龙江牡丹江157000 [2]牡丹江医学院第二附属医院血液科,黑龙江牡丹江157000

出　　处：《中国医药科学》2018年第16期96-99,共4页China Medicine And Pharmacy

摘　　要：目的研究不同比重罗哌卡因腰麻在肛肠手术患者中的应用价值。方法选取2014年6月~2016年6月期间在我院进行肛肠手术的患者90例,采用随机数字表法分成A,B,C三组,每组患者30例,对三组患者分别进行0.5%罗哌卡因8mg(A组),0.5%罗哌卡因10mg(B组),0.5%罗哌卡因12mg(C组)治疗,对三组患者运动、感觉阻滞情况;血流动力学以及不良反应等作出比较。结果 B、C两组患者均与A组相比较,感觉阻滞、运动阻滞的起效时间明显要短,运动阻滞的维持时间明显要长,差异具有统计学意义。对三组患者血流动力学不同时刻进行比较,C组患者20min,30min DBP、SBP明显要低于A、B两组,C组患者20min,30min,术毕HR明显要快于A、B两组。对三组患者的不良反应进行比较,C组与A、B两组相比恶心,胸闷,低血压,心动过缓以及头痛均有明显差异。结论不同比重罗哌卡因腰麻在肛肠手术患者中的应用有着不同的价值,临床上0.5%罗哌卡因能够有效地对患者起到麻醉效果,且不良反应不明显,因而医生应根据患者具体情况进行不同比重的麻醉,确保达到最好效果。Objective To study the application value of different proportion ropivaeaine spinal anesthesia in patients with anoreetal surgery. Methods Ninety patients who were treated with anoreetal surgery in our hospital from June 2014 to June 2016 were selected and randomly divided into group A, B and C, with 30 patients in each group. The three groups were treated with 0.5% （group A） ropivaeaJne 8mg, 0.5% （group B） ropivaeaJne 10mg and 0.5% （group C） ropivaeaine 12mg respectively. The motion and sensory block, hemodynamies and adverse reactions of the three groups were compared. Results Compared with group A, the onset time of sensory block and motor block was shorter and the maintenance time of motor block was longer in both group B and C. The hemodynamies of the three groups were compared at different time. The DBP and SBP in group C were significantly lower than those in group A and B at 20 and 30 minutes. The HI{ in group C was significantly faster than that in group A and B at 20, 30 minutes and postoperatively. Comparing the adverse reactions of the three groups, there were significant differences in nausea, chest tightness, hypotension, bradycardia and headache between group C and group A and group B. Conclusion Different proportions of ropivaeaine in spinal anesthesia in anoreetal surgery patients have different values, elinieal 0.5% ropivaeaine ean effeetively play an anesthetie effeet on patients, and adverse reaetions are not obvious, so doetors should aeeording to the speeifie eireumstanees of patients with different proportions of anesthesia, to ensure the best results.

关 键 词：不同比重罗哌卡因 腰麻 肛肠手术 应用价值 

分 类 号：R614[医药卫生—麻醉学]