布比卡因和罗哌卡因-腰硬联合麻醉对下肢骨折手术的应用效果比较  

Effect comparison of bupivacaine and ropivacaine for combined spinal-epidural anesthesia in lower limb fracture surgery

作　　者：林红岩 LIN Hong-yan(Department of Anesthesiology,Xiangshui County Hospital of Traditional Chinese Medicine,Yancheng 224600,China)

机构地区：[1]江苏省响水县中医院麻醉科,224600

出　　处：《中国实用医药》2022年第13期117-119,共3页China Practical Medicine

摘　　要：目的比较布比卡因和罗哌卡因-腰硬联合麻醉对下肢骨折手术的应用效果。方法 72例下肢骨折手术患者,随机分为实验组和对照组,各36例。实验组患者采用罗哌卡因进行腰硬联合麻醉,对照组患者采用布比卡因进行腰硬联合麻醉。比较两组患者感觉阻滞起效时间与运动恢复时间、麻醉效果及不良反应发生情况。结果 实验组患者感觉阻滞起效时间(164.38±20.48)s与运动恢复时间(146.74±11.35)min均短于对照组的(237.21±21.77)s、(180.38±14.35)min,差异具有统计学意义(P<0.05)。实验组患者麻醉总有效率94.44%高于对照组的72.22%,差异具有统计学意义(P<0.05)。实验组患者不良反应发生率低于对照组,差异具有统计学意义(P<0.05)。结论 对下肢骨折手术患者采用罗哌卡因进行腰硬联合麻醉能取得良好的麻醉效果,还可显著缩短感觉阻滞起效时间和运动恢复时间,值得临床推广应用。Objective To compare the application effect of bupivacaine and ropivacaine for combined spinal-epidural anesthesia in lower limb fracture surgery.Methods A total of 72 patients with lower limb fracture surgery were randomly divided into experimental group and control group,with 36 cases in each group.Patients in the experimental group were treated with ropivacaine for combined spinal-epidural anesthesia,and patients in the control group were treated with bupivacaine for combined spinal-epidural anesthesia.The onset time of sensory block,motor recovery time,anesthesia effect and adverse reactions were compared between the two groups.Results The onset time of sensory block(164.38±20.48)and motor recovery time(146.74±11.35)min in the experimental group were shorter than(237.21±21.77)s and(180.38±14.35)min in the control group,and the differences were statistically significant(P<0.05).The total effective rate of anesthesia 94.44%in the experimental group was higher than 72.22%in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Ropivacaine combined spinal-epidural anesthesia can achieve good anesthetic effect,significantly shorten the onset time of sensory block and motor recovery time,which is worthy of clinical promotion and application.

关 键 词：布比卡因 罗哌卡因 腰硬联合麻醉 下肢骨折手术 应用效果 

分 类 号：R614[医药卫生—麻醉学]