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三种比重罗哌卡因腰麻在老年骨科手术中的应用 被引量:5

Application of Three Specific Gravity Ropivacaine Spinal Anesthesia in Elderly Orthopaedic Surgery
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摘要 目的探讨三种不同比重罗哌卡因腰麻用于老年骨科手术的临床对比分析。方法选取本院收治的200例老年骨科手术作为观察对象,根据随机数字表法将其分为三组,分别给与三种不同比重罗哌卡用于老年骨科手术。对患者的运动神经阻滞、感觉阻滞及血液动力学情况进行分析。结果等比重组运动阻滞起效时间长于重比重组及轻比重组(P<0.05);等比重组和轻比重组运动阻滞恢复时间均短于重比重组,且等比重组比轻比重组更短,差异有统计学意义(P<0.05);等比重组及轻比重组感觉阻滞恢复时间均长于重比重组(P<0.05),等比重组感觉阻滞起效时间及感觉阻滞达到最高平面时间均长于重比重组和轻比重组(P<0.05);等比重组和轻比重组HR、DBP及SBP的最大变化率低于重比重组(P<0.05),等比重组DBP及SBP的最大变化率低于轻比重组,差异有统计学意义(P<0.05)。结论等比重的罗哌卡因腰麻用于老年骨科手术的临床疗效显著,能稳定血流动力学。 Objective To explore the clinical comparative analysis of three different proportions of ropivacaine for spinal anesthesia in elderly orthopaedic surgery.Methods 200 cases of elderly orthopaedic surgery in our hospital were selected as the observation objects.According to the random number table method,they were divided into three groups,and Ropivaca with three different specific gravities was given for elderly orthopaedic surgery.The motor nerve block,sensory block and hemodynamics of the two groups were analyzed.Results The onset time of motor block with equal proportion recombination was longer than that with weight recombination and light recombination(P<0.05);The recovery time of motor block was shorter than that of weight specific recombination,And the ratio of light to equal recombination is shorter than that of heavy recombination,The difference was statistically significant(P<0.05);The recovery time of sensory block was significantly longer than that of weight ratio(P<0.05),The effective time and the time of reaching the highest level of sensory block were longer than those of heavy and light reorganization(P<0.05);The maximum change rate of HR,DBP and SBP in the same and light weight ratio recombination was lower than that in the weight ratio recombination(P<0.05),The maximum change rate of DBP and SBP was lower than that of SBP(P<0.05).Conclusion The isobaric ropivacaine spinal anesthesia for elderly orthopaedic surgery has significant clinical effect,can stabilize hemodynamics,and has high clinical value.
作者 张业旺 ZHANG Yewang(Anesthesiology Department,Xiantao Traditional Chinese Medicine Hospital,Xiantao Hubei 433000,China)
出处 《中国继续医学教育》 2020年第6期68-70,共3页 China Continuing Medical Education
关键词 罗哌卡因 老年 骨科手术 腰麻 比重 血流动力学 ropivacaine elderly orthopaedic surgery lumbar anesthesia specific gravity hemodynamics
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