不同腰麻用药对高龄骨科手术患者的麻醉效果比较

Comparison of anesthesia effects of different spinal anesthesia drugs on elderly patients undergoing orthopaedic surgery

目的:探讨不同腰麻用药对高龄骨科手术患者的麻醉效果。方法:2018年10月-2019年10月收治骨科手术治疗的患者800例,随机分为两组,各400例。均进行腰麻操作。观察组采用甲磺酸罗哌麻醉,对照组采用盐酸罗哌麻醉。比较麻醉效果。结果:两组感觉阻滞起效时间、痛觉阻滞起效时间、运动阻滞起效时间、运动恢复时间比较,差异无统计学意义(P>0.05)。观察组不良反应率明显低于对照组,差异有统计学意义(P<0.05)。结论:甲磺酸罗哌和盐酸罗哌在高龄骨科手术患者的麻醉效果较好,但甲磺酸罗哌不良反应少。

Objective:To investigate the anesthetic effect of different spinal anesthesia on elderly patients undergoing orthopedic surgery.Methods:From October 2018 to October 2019,800 patients who underwent orthopedic surgery were selected,they were randomly divided into the two groups with 400 casess in each group.Spinal anesthesia was performed in all patients.The observation group was anesthetized with ropivacaine methanesulfonate.The control group was anesthetized with ropivacaine hydrochloride.The anesthetic effects were compared.Results:There was no significant difference in the onset time of sensory block,pain block,motor block and motor recovery between the two groups(P>0.05).The adverse reaction rate in the observation group was significantly lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Ropium methanesulfonate and ropium hydrochloride have better anesthetic effect in elderly patients undergoing orthopedic surgery,but the adverse reactions of ropium mesylate are less.