罗哌卡因添加右美托咪定在义眼台置入术中的麻醉效果研究  

Study on Anesthetic Effect of Dexmedetomidine Added to Ropivacaine in Onestage Ocular Prosthesis Implantation

作　　者：杨倩倩[1] 刘德成[1] YANG Qian-qian;LIU De-cheng(Department of Ophthalmology,the Seventh People's Hospital of Zhengzhou,Zhengzhou 450016,Henan,China)

机构地区：[1]郑州市第七人民医院眼科,河南郑州450016

出　　处：《中国美容医学》2018年第12期101-103,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:为获得良好的麻醉效果,尽可能减少患者术后不适,并确保麻醉安全,探讨罗哌卡因添加右美托咪定在一期义眼台置入术中的临床麻醉效果及安全性。方法:2012年2月-2018年2月,笔者对36例(36眼)因眼球萎缩、眼球破裂、难治性青光眼的患者行一期义眼台置入术,术中采用0.75%罗哌卡因中添加右美托咪定0.5μg/kg行球后麻醉及眼球筋膜下麻醉配合手术。结果:36例患者术中生命体征平稳,麻醉效果良好,患者无疼痛难忍现象,配合度好。术后疼痛轻、结膜水肿及恶心呕吐症状均较轻。结论:在一期义眼台置入术中应用罗哌卡因添加右美托咪定,能延长感觉与运动阻滞的持续时间,并且有很好的术后镇痛效果。Objective In order to obtain a good anesthesia effect,reduce the patients postoperative discomfort as much as possible,and ensure the safety of anesthesia.To explore the clinical anesthesia effect and safety of dexmedetomidine added to ropivacain in one-stage ocular prosthesis implantation.Methods From February2012to February2018,36patients(36eyes)with atrophy of the eyeball,rupture of the eyeball and refractory glaucoma were treated with one-stage Ocular prosthesis implantation.During the operation,dexmedetomidine of0.5μg/kg added to0.75%ropivacaine for retrobulbar anesthes and subtascia loacl anesthesia.Results36patients had stable vital signs and good cooperation during operation.No pain or intolerable phenomenon occurred.Postoperative pain,conjunctival edema and nausea and vomiting were mild in all patients.Conclusion Dexmedetomidine added to ropivacaine for the treatment retrobulbar anesthesia in one-stage prosthesis implantation canaccelerate the onset time of sensory and motor blocks,prolong the duration of sensory and motor blocks,and provide more effective postoperative analgesia.

关 键 词：罗哌卡因 右美托咪定 义眼台 置入术 麻醉 镇痛 

分 类 号：R622[医药卫生—整形外科]