不同剂量盐酸罗哌卡因在蛛网膜下腔麻醉患者中的应用  

Application of different doses of Ropivacaine Hydrochloride in patients with subarachnoid anaesthesia

作　　者：罗红 LUO Hong(Department of Anesthesiology,the Second Affiliated Hospital of Gannan Medical University,Jiangxi,Ganzhou341600,China)

机构地区：[1]赣南医学院第二附属医院麻醉科,江西赣州341600

出　　处：《中国当代医药》2020年第30期131-134,共4页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2019ZSF069)。

摘　　要：目的探讨不同剂量盐酸罗哌卡因在蛛网膜下腔麻醉患者中的应用效果。方法回顾性分析2019年7~12月于我院行蛛网膜下腔麻醉的100例患者的临床资料,按照盐酸罗哌卡因使用剂量的不同分为对照组(50例)和观察组(50例)。对照组患者采用中等剂量盐酸罗哌卡因,观察组患者采用小剂量盐酸罗哌卡因。比较两组患者的麻醉效果、舒适度(BCS)评分、自主排尿功能、留置导尿情况以及并发症总发生率。结果观察组患者的平面固定时间长于对照组,术后运动恢复时间早于对照组,差异有统计学意义(P<0.05)。观察组患者术后不同时间点的BCS评分高于对照组,差异有统计学意义(P<0.05);对照组患者术后6 h(T2)、术后24 h(T3)的BCS评分高于本组术后3 h(T1)时,差异有统计学意义(P<0.05);观察组患者术后不同时间点的BCS评分比较,差异无统计学意义(P>0.05)。两组患者T3时的排尿次数、残余尿量均上升,最大膀胱压容积均下降,但观察组患者T3时的排尿次数、残余尿量低于对照组,最大膀胱压容积高于对照组,差异有统计学意义(P<0.05)。观察组患者的留置导尿率以及并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论在蛛网膜下腔麻醉中应用小剂量盐酸罗哌卡因效果更佳,利于提升患者术后舒适度,减轻其自主排尿功能受损程度,降低留置导尿率,同时减少并发症的发生。Objective To investigate the application effect of different doses of Ropivacaine Hydrochloride in patients with subarachnoid anaesthesia.Methods The clinical data of 100 patients with subarachnoid anaesthesia in the hospital from July to December 2019 were retrospectively analyzed.They were divided into the control group(50 cases)and the observation group(50 cases)according to different doses of Ropivacaine Hydrochloride.The control group was given middle dose of Ropivacaine Hydrochloride,and the observation group was given low dose of Ropivacaine Hydrochloride.The anesthetic effect,Bruggrmann comfort scale(BCS)score,autonomic urination function,indwelling catheterization and the total incidence of complications were compared between the two groups.Results The plane fixed time of the observation group was longer than that of the control group,and the postoperative recovery time of motion in the observation group was earlier than that in the control group,with statistically significant differences(P<0.05).The BCS scores in the observation group at different time after surgery were higher than those in the control group,with statistically significant differences(P<0.05).The BCS scores in the control group after surgery for 6 h(T2)and after surgery for 24 h(T3)were higher than those in same group after surgery for 3 h(T1),with statistically significant differences(P<0.05).There were no statistically significant differences in the BCS scores in the observation group at different time after surgery(P>0.05).The urination frequency and residual urine volume increased at T3 in the two groups,and the maximum bladder pressure volume decreased.However,the urination frequency and residual urine volume at T3 in the observation group were lower than those in the control group,and the maximum bladder pressure volume was higher than that in the control group, the differences were statistically significant (P<0.05). The indwelling catheterization rate and the total incidence of complications in the observation group were lower t

关 键 词：蛛网膜下腔麻醉 不同剂量 盐酸罗哌卡因 麻醉效果 舒适度 自主排尿功能 留置导尿 并发症 

分 类 号：R614[医药卫生—麻醉学]