罗哌卡因腰-硬联合麻醉在前列腺等离子电切中的应用

Ropivacaine Spinal-epidural Anesthesia in Transurethral Resection of the Prostate Plasma Application

目的:探讨罗哌卡因腰-硬联合麻醉应用于前列腺等离子电切术(PKRP)的效果,并与左旋布比卡因的麻醉效果进行比较。方法:将入选的68例行PKRP患者随机分为两组,每组各34例,Ⅰ组行罗哌卡因腰-硬联合麻醉,Ⅱ组行左旋布比卡因腰-硬联合麻醉,比较两组患者的麻醉效果。结果:Ⅰ组的麻醉阻滞起效时间慢于Ⅱ组(P<0.05),Ⅰ组最大运动阻滞时间明显长于Ⅱ组(P<0.05),Ⅰ组膀胱痉挛发生率明显低于Ⅱ组(P<0.05)。结论:罗哌卡因腰-硬联合麻醉应用于PKRP安全性高,且有较好的麻醉效果,值得临床推广。

Objective： To investigate the effect of ropivacaine for spinal-epidural anesthesia in the application of PKRP, and compare the effect of bupivacaine. Methods： 68 patients for PKRP were randomly divided into two groups. Group I was treated by ropivacaine as spinal-epidural anesthesiam, and group Ⅱ was treated by levobupivacaine spinal-epidural anesthesia. To compare the effect of the two groups. Results： The onset time of group I were slower than that of the group Ⅱ （P〈0.05）, the maximum block time of group I was significantly longer than that of the group Ⅱ （P〈0.05）. The adverse reactions of group I was significantly lower than that of group Ⅱ （P〈0.05）. Conclusion： The application of ropivacaine for spinal-epidural anesthesia in the application of PKRP is safe and has good anesthetic effect, worthy of promotion.