摘要
目的探讨老年下肢骨关节置换术中应用罗哌卡因腰麻硬膜外联合麻醉的临床效果。 方法随机选取2013年4月至2015年12月老年下肢骨关节置换术患者120例，按照麻醉案分为三组，每组40例。对照组给予连续硬膜外麻醉，观察A组行0.5%罗哌卡因腰麻硬膜外联合麻醉，观察B组行0.65%罗哌卡因腰麻硬膜外联合麻醉，比较三组麻醉效果及不良反应。 结果观察A组与观察B组评估指标均优于对照组，差异有统计学意义（P〈0.05）。观察A组运动恢复时间为（98.5±17.2）min，短于观察B组的（130.1±23.5）min，差异有统计学意义（P〈0.05）；但两组不良应发生率比较差异未见统计学意义（P〉0.05）。 结论小剂量罗哌卡因腰麻硬膜外联合麻醉可促进患者术后尽快苏醒，有利于术后早期康复治疗。
Objective To investigate the effect of ropivocaine and combined spinal and epidural anesthesia （CSEA） in elderly lower limb arthroplasty. Methods From April 2013 to December 2015, 120 patients with lower limb arthroplasty were randomly selected, and were divided into the three groups, with 40 cases in each group. The control group was given continuous epidural anesthesia, the observation group A received 0. 5% ropivacaine and CSEA, and the observation group B was treated with 0. 65% ropivacaine and CSEA. Anesthesia effect and adverse reactions in the three groups were compared. Results The eval- uation indexes in the observation group A and B were better than those in the control group, the differences were significant （P 〈0. 05）. The motor recovery time in the observation group A was（98.5±17. 2）min, and was shorter than that in the observation group B[ （130. 1±23.5）mini, the difference was significant （P 〈0. 05）, but adverse effects rate between the two groups had no significant difference （P 〉 0. 05 ）. Conclusions Low dose ropivacaine can promote patients postoperative woke up as soon as possible, and is beneficial to early postoperative rehabilitation.
出处
《中国实用医刊》
2016年第23期57-59,共3页
Chinese Journal of Practical Medicine
关键词
关节置换术
罗哌卡因
腰麻硬膜外联合麻醉
连续硬膜外麻醉
Arthroplasty
Ropivacaine
Combined spinal and epidural anesthesia
Continuous epidural anesthesia
