检验医学与临床2016，Vol.13Issue(15)：2095-2096,2099,3.DOI:10.3969/j.issn.1672-9455.2016.15.009
罗哌卡因对腰硬联合麻醉下子宫全切术患者运动神经阻滞的影响
Influence of ropivacaine on motor nerve block in patients with total hysterectomy under combined spinal epidural anesthesia
摘要
Abstract
Objective To investigate the influence of ropivacaine on motor nerve block in the patients with total hysterectomy under combined spinal epidural anesthesia .Methods A total of 108 patients with total hysterectomy in the Maternal and Child Health Care Hospital of Inner Mongolia Autonomous Region from Jan .2014 to Dec .2015 were collected and randomly divided into the ropivacaine group and levobupivacaine group .The main observation indicators included mean arterial pressure (MAP) ,sensory nerve block duration ,motor nerve block duration and Bromege score .Results Compared with the levobupivacaine group ,the motor nerve block duration in the ropivacaine group was significantly shortened[(154 .83 ± 35 .12) min vs .(190 .24 ± 33 .06)min ,P<0 .001];the Bromege score was significantly decreased[(2 .46 ± 1 .06) points vs .(2 .89 ± 0 .79) points ,P=0 .02] .MAP ,sensory nerve block duration and complications of nausea ,vomiting and headache had no statistical differences between the two groups(P>0 .05) .Conclusion Compared with levobupivacaine ,ropivacaine is safe and effective in total hysterectomy under combined spinal epidural anesthesia and significantly reduces the motor nerve block duration .关键词
罗哌卡因/腰硬联合麻醉/子宫全切术/运动神经阻滞Key words
ropivacaine/combined spinal epidural anesthesia/total hysterectomy/motor nerve block引用本文复制引用
范国义,韩志强..罗哌卡因对腰硬联合麻醉下子宫全切术患者运动神经阻滞的影响[J].检验医学与临床,2016,13(15):2095-2096,2099,3.基金项目
内蒙古自治区自然科学基金项目（2013MS1139）。 （）
