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罗哌卡因等比重腰-硬联合麻醉在老年患者下肢骨科手术中的应用

周淑敏 刘金虎 果君媛

实用临床医药杂志2011,Vol.15Issue(11):137-139,3.
实用临床医药杂志2011,Vol.15Issue(11):137-139,3.

罗哌卡因等比重腰-硬联合麻醉在老年患者下肢骨科手术中的应用

Application of Ropivacaine for combined spinal-epidural anesthesia in lower extremity patients aged over 75

周淑敏 1刘金虎 1果君媛1

作者信息

  • 1. 北京市朝阳区第二医院,麻醉科,北京,100026
  • 折叠

摘要

Abstract

Objective To evaluate the efficacy and feasibility of Ropivacaine for combined spinal - epidural anesthesia in lower extremity patients aged over 75.Methods Fifty over seventy - five years old ASA grade Ⅱ - Ⅲ patients were randomly divided into continuous epidural anesthesia(CEA) group and CSEA group, 25 cases in each.Onset of sensory block, anesthetic effect, analgesic effect, hemodynamics and adverse effect were observed.Results CSEA produced shorter effect time, got better muscle relaxation, good horizontal control and complete block (P < 0.01 ).CSEA group circulated more stably than the CEA group, but the difference was not significant (P >0.05).Conclusion Ropivacaine has the advantage of being rapid onset of anesthesia and hemodynamic stability in the elderly undergoing bones of lower limb operating.

关键词

罗哌卡因/腰-硬联合麻醉/老年人/骨科手术

Key words

Ropivacaine/ combined spinal- epidural anesthesia/ elderly patients/ bones of lower limb operating

分类

医药卫生

引用本文复制引用

周淑敏,刘金虎,果君媛..罗哌卡因等比重腰-硬联合麻醉在老年患者下肢骨科手术中的应用[J].实用临床医药杂志,2011,15(11):137-139,3.

实用临床医药杂志

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