罗哌卡因腰麻在老年病人前列腺汽化电切手术中的应用

Application of spinal anesthesia with ropivacaine hydrochloride in elderly patients with translethral eloctmvaporization of prostate

目的:观察罗哌卡因(ropivacaine hydrochloride)用于老年病人腰麻中的安全性和可行性。方法:选择行前列腺汽化电切手术的病人240例,蛛网膜下腔麻醉,局麻药为罗哌卡因。结果:病人生命体征平稳麻醉效果满意,最高阻滞平面T8-10,麻醉效果满意,病人生命体征平稳肌松良好。结论:本研究显示0.75%罗哌卡(ropivacaine hydrochloride)因虽然浓度较高,但容量不大,最大量为140mg能在血流动力学稳定的前提下满足前列腺汽化电切手术的麻醉要求。

Objectlve：To observe the safety and feasibility of ropivacaine hydrochloride in spinal anesthesia for elderly patients. Methods： 240 elderly patients with translethral eloetmvaporization of prostate were performed subarachnoid anesthesia with ropivacaine hydrochloride（batch number：H20100105, AstraZeneca）. Results： Patients with ropivaeaine hydrochloride had stable vital signs, good muscle relaxation and satisfactory anesthesia in which the highest block level was T8 -10. Conclusion： The maximum amount of 0.75% ropivacaine hydrochlofide is 140rag which is higher coneenirafion but small capacity.. Ropivacaine hydroehloride is a safe anesthetic of spinal anesthesia with small dosages, more reliable in hemodynamieally stable for elderly patients with translethral eloctmvaporization of prostate.