摘要
目的 观察不同的脊麻药对脊椎 -硬膜外腔联合麻醉后硬膜外镇痛的尿潴留的影响。方法 60例下肢择期手术患者 ,选择脊椎 -硬膜外腔联合麻醉 ,以布比卡因和罗哌卡因行脊麻 ,然后以布比卡因 +吗啡行术后硬膜外镇痛 ,观察其视觉模拟镇痛评分和对尿潴留的影响。结果 两组病人镇痛效果均好 ,无明显差别 ;以0.5 %罗哌卡因重比重液行脊麻 ,尿潴留发生率明显比以0.5%布比卡因重比重液行脊麻低 ,有显著性差异。结论 蛛网膜下隙 -硬膜外腔联合麻醉后硬膜外镇痛 ,脊麻选择0.5%罗哌卡因重比重液镇痛效果好 ,尿潴留发生率较低 。
Objective To compare and assess the effect of urinary retention after the use of a continuous epidural infusion of different spinal anesthesia drugs. Methods 60 patients undergone selective surgery were divided into two groups. Selected combined spinal extradural anesthesia. Using ropivacaine and bupivacaine. After the operation ,patients received continuous epidural infusion of bupivacainein combination with morphine. Visual analogue scale scores for pain and urinary retention were recorded. Results The two groups have no significantly difference. The variation of urinary retention in 0.5% ropivacaine group were significantly lower than that of 0.5% bupivacaine group. Conclusion After combined spinal extradural anesthesia, a continuous, epidural infusion with 0.5% ropivacaine was effective for analgesia, low incidence of urinary retention.
出处
《浙江临床医学》
2003年第4期254-255,共2页
Zhejiang Clinical Medical Journal
