摘要
目的分析罗哌卡因复合舒芬太尼腰硬联合麻醉在老年下肢骨科手术中的应用。方法选取该院2018年6月—2019年8月间行下肢骨科手术治疗的72例老年患者,以随机分组的方式,将患者分为A组(0.5%罗哌卡因7.5 mg)、B组(0.5%罗哌卡因7.5 mg+舒芬太尼5μg)、C组(0.5%罗哌卡因6 mg+舒芬太尼5μg),每组24例。观察对比两组患者的麻醉效果、麻醉不同时期血压、术后临床表现和术后不良反应。结果C组麻醉效果(70.83%)优良率高于A(33.33%)、B组(45.83%),差异有统计学意义(P<0.05);3组患者在麻醉后血压均呈现下降状态,在麻醉10 min、20 min、30 min时,A组相较于B、C两组患者血压更低,差异有统计学意义(P<0.05)。A组的麻醉镇痛时间短于B、C两组,差异有统计学意义(P<0.05)。B组不良反应高于A、C两组,差异有统计学意义(P<0.05)。结论0.5%罗哌卡因6 mg复合舒芬太尼5μg腰硬联合麻醉效果最理想,麻醉期间患者的血压稳定,镇痛时间长,且不良反应较少。
Objective To analyze the application of ropivacaine in accordance with sufentanil combined with lumbar and hard anesthesia in orthopedic surgery of elderly lower extremities.Methods Seventy-two elderly patients who underwent orthopedic surgery for lower extremities from June 2018 to August 2019 in the hospital were randomly divided into groups A(0.5%ropivacaine 7.5 mg)and group B(0.5%ropivacaine 7.5 mg+sufentanil 5μg),group C(0.5%ropivacaine 6 mg+sufentanil 5μg),each group was 24 cases.Observe and compare the anesthesia effect,blood pressure in different periods of anesthesia,postoperative clinical manifestations and adverse reactions of the two groups.Results The excellent rate of anesthesia effect in group C(70.83%)was higher than that in groups A(33.33%)and B(45.83%),the difference was statistically significant(P<0.05);the blood pressure of the three groups showed a decrease after anesthesia.At 10 minutes,20 minutes and 30 minutes of anesthesia,group A compared to groups B and C The patient's blood pressure was lower and the difference was statistically significant(P<0.05).The analgesic analgesia time in group A was shorter than that in groups B and C,the difference was statistically significant(P<0.05).The adverse reactions in group B were higher than those in groups A and C,the difference was statistically significant(P<0.05).Conclusion 0.5%ropivacaine 6mg is consistent with sufentanil 5μg lumbar stiffness combined with anesthesia,whose effect is the best.During the anesthesia,the patient's blood pressure is stable,the analgesic time is long,and there are few adverse reactions.
作者
郑焕金
陈新凯
陈少霞
ZHENG Huan-jin;CHEN Xin-kai;CHEN Shao-xia(Department of Anesthesiology,Dafeng Hospital,Chaoyang District,Shantou,Guangdong Province,515154 China)
出处
《世界复合医学》
2020年第7期187-189,共3页
World Journal of Complex Medicine
关键词
下肢骨科手术
腰硬联合麻醉
罗哌卡因
舒芬太尼
麻醉效果
Orthopedic surgery of lower extremities
Combined lumbar and hard anesthesia
Ropivacaine
Sufentanil
Anesthetic effect