单侧轻比重蛛网膜下腔阻滞在老年患者下肢手术中的优势

Unilateral Light Weight Subarachnoid Block in Lower Limb Surgery in Elderly Patients

目的分析单侧轻比重蛛网膜下腔阻滞的优势。方法将我院收治的老年下肢手术患者72例,随机分为照组和观察组,分别实施常规比重和轻比重罗哌卡因单侧腰麻。结果观察组患者镇痛有效率97.22%明显高于对照组患者有效率83.33%,观察组患者感觉和运动阻滞起效时间(1.36±0.15)min明显低于对照组患者时间(7.52±2.54)min,观察组患者并发症发生率2.78%,明显低于对照组发生率16.67%,差异均有统计学意义(P<0.05)。结论单侧轻比重蛛网膜下腔阻滞麻醉效果更好。

Objective Analysis the advantages of unilateral light weight subarachnoid block. Methods 72 elderly patients with lower extremity surgery in our hospital were randomly divided into control group and observation group,respectively,the implementation of unilateral spinal anesthesia ropivacaine conventional proportion and the proportion of light. Results The effective rate of analgesia in the observation group was 97.22% higher than the control group of 83.33%,the effective rate of observation,groups of sensory and motor block onset time（1.36±0.15） min was significantly lower than the control group with time（7.52±2.54） min,the complication rate of observation group 2.78% was significantly lower than the control group was 16.67%,the difference was statistically significant the significance（P〈0.05）. Conclusion Unilateral light weight subarachnoid block anesthesia better.