左布比卡因复合利多卡因持续硬膜外麻醉在老年疝气手术中的应用

The application of levobupivacaine compound lidocaine for continued epidural anesthesia in elderly hernia operation

目的探讨左布比卡因复合利多卡因持续硬膜外麻醉在老年疝气手术中应用的可行性。方法选择我院2012年1月～2013年1月行疝气手术的患者40例，年龄50-80岁，ASA Ⅰ～Ⅱ级，所有患者均选择L2-3，间隙穿刺并向头端置管后在硬膜外麻醉下行手术治疗，首次硬膜外给药剂量为1％利多卡因复合0．375％左布比卡因10mL，观察10min后未见明显并发症．测定麻醉平面满足手术要求后开始手术治疗，而后采用微量泵持续泵注1％利多卡因复合0．375％左布比卡因，控制给药速度6mL／h。结果所有患者均安静配合手术治疗，术中及术后未见明显并发症。结论1％利多卡因复合0．375％左布比卡因持续硬膜外维持麻醉可安全有效地应用于老年疝气手术中。

Objective To investigate the feasibility of the application of levobupivacaine compound lidocaine for con- tinued epidural anesthesia in elderly hernia surgery. Methods Selected 40 patients undergone hernia surgery in our hospital from January 2012 to January 2013,aged 50 to 80 years old,ASA I -H ,choosed L2-3 interspace of lumbar vertebrae as the anaesthetic puncture point, first epidural drug delivery dosage was 1% lidocaine compound 0.375% levobupivaeaine 10 mL,significant complications were not seen in about 10 minutes,the determination of anesthesia plane meet the operation requirements,and then began to operate,used the micro pump continuous to inject 1% lido- caine compound 0.375% levobupivaeaine in epidural anesthesia,control the dosing speed 6 mL/h. Results All patients were quiet during surgical treatment,intraoperative and postoperative saw no obvious complications. Conclusion Con- tinued to inject 1% lidocaine compound 0.375% levobupivacaine in epidural anesthesia is safe and effective applica- tion in aged hernia surgery.