甲磺酸罗哌卡因用于高位硬膜外麻醉的价值评价

Value of Ropivacaine Mesylate Used in Epidural Anesthesia

目的：分析甲磺酸罗哌卡因用于高位硬膜外麻醉的临床效果。方法：选取笔者所在医院2011年12月-2012年12月间收治的60名拟于高位硬膜外麻醉下施行手术的患者作为研究对象,按照随机数字表法将患者分为观察组与对照组,每组30例。对照组采用盐酸布比卡因进行麻醉,观察组采用甲磺酸罗哌卡因进行麻醉,对两组患者的阻滞起效时间、运动阻滞恢复时间、最大阻滞时间进行分析比较。结果：麻醉过程中有两名患者麻醉平面扩散不够理想,在对锁骨下组织进行分离的时候有疼痛感,给予患者静脉滴注丙泊酚后得到改善,药物剂量根据患者的体重而定,本次使用剂量为1.56 mg/kg,其余的患者麻醉平面均达到了C6~T10,两组患者均取得良好的麻醉效果。观察组患者的阻滞起效时间、运动阻滞恢复时间、最大阻滞时间均短于对照组,两组比较差异均有统计学意义（P〈0.05）。结论：甲磺酸罗哌卡因用于高位硬膜外麻醉具有良好的临床效果,能缩短阻滞起效时间、运动阻滞恢复时间和最大阻滞时间,值得在临床上推广应用。

Objective： To analyze the clinical effects of Ropivacaine mesylate used in epidural anesthesia.Method： 60 thoracic epidural patients in our hospital from December 2011 to December 2012 were selected as the research object, randomly divided into the observation group and the control group, 30 cases of patients in each group.The control group was using bupivacaine anesthesia, the observation group was given ropivacaine methanesulfonate anesthesia.The indicators between the two groups were compared after treatment, such as block onset time, motor block recovery, maximum block time and so on.Result： Two patients during anesthesia anesthesia planar diffusion were not ideal, have pain when the subclavian tissues were separated.Patients were given intravenous infusion of propofol, and it was improved after drug dose, depending on the patient＇s body weight, the dosage of 1.56 mg/kg, and the rest of the patients reached the C6- T10 plane.The two groups of patients achieved good effect of anesthesia.The block onset time, motor block recovery, maximum block time of the observation group were significantly shorter than the control group, and the difference between the two groups were all statistically significant（P〈0.05）.Conclusion： Ropivacaine for epidural anesthesia has good clinical effect, can reduce the block onset time, motor block recovery time and the maximum blocking time, is worthy to be popularized in clinical application.