罗比卡因和布比卡因在老年人脊麻中的应用被引量：12

Application of spinal anesthesia with ropivacaine or bupivacaine in the elderly

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摘要目的比较罗比卡因和布比卡因在老年人脊麻中的应用。方法90例老年患者在脊麻下行择期经尿道前列腺电切术(TURP)或膀胱肿瘤电切术(TURBt)。按所用局麻药随机分为三组,每组30例。Ⅰ组用布比卡因12mg,Ⅱ组用罗比卡因12mg,Ⅲ组用罗比卡因15mg。观察感觉阻滞平面、运动阻滞程度、阻滞持续时间、麻醉效果及不良反应。结果Ⅱ组运动阻滞程度和感觉、运动阻滞持续时间明显低于其他两组(P<0.05),麻醉效果差于其他两组(P<0.05)。结论罗比卡因15mg与布比卡因12mg脊麻用于老年人TURP或TURBt,可达到比较安全而完善的麻醉效果。 Objective To compare ropivacaine with bupivacaine used for spinal anesthesia in the elderly undergoing transurethral resection of the prostate （TURP）or transurethral resection of the bladder tumor （TURBt）. Methods Ninety geriatric patients scheduled for TURP or TURBt were divided into three groups with 30 cases each. Bupivacaine 12 mg was use in group Ⅰ , ropivacaine 12 mg in group Ⅱ , and ropivacaine 15 mg in group Ⅲ. The anesthetic effects on sensory and motor blockade,incidence of hypotension and bradycardia, quality of intraoperative analgesia and occurrence of neurological complications within 48 hours postoperatively were compared. Results The Duration of sensory and motor blockade in group Ⅱ was shorter than that in group Ⅰ and group Ⅲ. The inten- sity of motor blockade evaluated with bromage scale in group Ⅱ was lower than that in group Ⅰ and group Ⅲ. No obvious neurological complications were found in three groups. Conclusion Spinal anesthesia with either ropivacaine 15 mg or bupivacaine 12 mg is safe and sufficient in elderly undergoing TURP or TURBt.

作者周炬贾瑞芳左明章

机构地区卫生部北京医院麻醉科

出处《临床麻醉学杂志》 CAS CSCD 2006年第8期580-581,共2页 Journal of Clinical Anesthesiology

关键词罗比卡因布比卡因脊麻老年 Ropivacaine Bupivacaine Spinal anesthesia Geriatrics

分类号 R614 [医药卫生—麻醉学]

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