利多卡因与布比卡因在老年患者阑尾术中的麻醉效果比较  

Comparison of Anesthetic Effects of Lidocaine and Bupivacaine in Elderly Patients Undergoing Appendectomy

作　　者：张海静 赵宁 Zhang Haijing;Zhao Ning(Jun County People's Hospital,Hebi,Henan 456,250)

机构地区：[1]浚县人民医院,河南鹤壁456250

出　　处：《辽宁医学杂志》2023年第6期77-80,共4页Medical Journal of Liaoning

摘　　要：目的探究利多卡因与布比卡因在老年患者阑尾术中的麻醉效果比较。方法选取2018年2月至2020年4月我院收治的105例行阑尾术患者(>60岁)作为研究对象。按照随机数字法分为A组和B组,A组使用2%利多卡因,B组使用0.75%布比卡因。观察比较两组患者心率(HR)、平均动脉压(MAP)、感觉阻滞评定、起效时间、感觉运动阻滞时间、感觉运动恢复时间的差异、麻醉满意度及不良反应。结果B组起效时间、感觉运动阻滞及感觉运动恢复明显长于A组,差异具有统计学意义(P<0.05)。麻醉后5~10minA组HR下降明显高于B组,差异具有统计学意义(P<0.05)。两组患者麻醉后MAP均显著下降,麻醉后5~10min、10~20min,A组MAP下降明显高于B组,差异具有统计学意义(P<0.05)。两组麻醉总体满意度较好,其中B组患者满意度优于A组,差异具有统计学意义(P<0.05)。麻醉后A组不良反应发生率明显高于B组,差异无统计学意义(P>0.05)。结论利多卡因与布比卡因在老年患者阑尾术中安全、有效;布比卡因比利多卡因起效更快、阻滞更高,更适用于老年患者。Objective To compare the anesthetic effects of lidocaine and bupivacaine in elderly patients undergoing appendectomy.Methods A total of 105 elderly patients(>60 years old)undergoing appendectomy admitted to our hospital from February 2018 to April 2020 were selected divided into two groups according to the random number method.Group A received the 2%lidocaine and group B used 0.75%bupivacaine.Then the heart rate(HR),mean arterial pressure(MAP),sensory block assessment,onset time,sensorimotor block time,sensorimotor recovery time,anesthesia satisfaction and adverse reactions were compared between the two groups.Results The time of onset,sensorimotor block and sensorimotor recovery in group B were significantly longer than those in group A(P<0.05).The decrease level of HR at the post-anesthesia 5~10min of group A was more obvious than that of the group B(P<0.05).MAP decreased in both groups after anesthesia;The decrease level of MAP at the post-anesthesia 5~10min and 10~20min of group A was more obvious than that of the group B(P<0.05).The anesthesia satisfaction rate of the group B was higher than that of the group A(P<0.05).The incidence of adverse reactions in group A after anesthesia was significantly higher than that in groupB,with no statistic difference(P>0.05).Conclusion The efficacy and safety of lidocaine and bupivacaine have no large difference for elderly patients undergoing appendectomy.

关 键 词：利多卡因 布比卡因 阑尾术 麻醉效果 

分 类 号：R614[医药卫生—麻醉学]