西南国防医药2017，Vol.27Issue(8)：811-813,3.DOI:10.3969/j.issn.1004-0188.2017.08.011
罗哌卡因下肢神经阻滞与CSEA在老年骨科手术中的应用
Application of ropivacaine for lower limb nerve block and CSEA in orthopedic surgery for senile patients
摘要
Abstract
Objective To explore the application value of ropivacaine for lower limb nerve block and combined spinal and epidural analgesia (CSEA) in orthopedic surgery for senile patients.Methods A total of 84 senile patients to receive orthopedic surgery were selected and randomly divided into a lower limb nerve block group (group A) and a CSEA group (group B)(n=42,respectively).Ropivacaine for lumbar-sciatic nerve block or combined spinal and epidural analgesia was respectively applied to the two groups.The anesthetic effects,amount of anesthetic drugs and stress response in operation between the two groups were compared.~ (1)The initial effect time of esthesic and motion block in group A was earlier than that in group B;the maximum time of esthesic and motion block and block duration were longer than those in group B;the initial effect time,the maximum time and the duration of motion block were shorter than those in group B (P ＜ 0.05);(2)the anesthesia induction time and block perfection time in group A were shorter than those in group B,and the amount of local anesthetic drugs was less than that in group B (P ＜ 0.05);(3)the epinephrine (E),renin (R),noradrenaline (NE) and angiotensin II (AT II) levels upon skin incision in group A were lower than those in group B (P ＜ 0.05);(4)the incidence of postoperative adverse reactions in group A was lower than that in group B (P ＜ 0.05).Conclusion The application of ropivacaine for lumbar-sciatic nerve block in orthopedic surgery for senile patients can ensure perfect esthesic and motion block,reduce the amount of local anesthetic drugs,relieve patients’ stress response in operation and improve the safety of anesthesia.关键词
老年/骨科/腰硬联合/麻醉/下肢/神经阻滞Key words
senile patient/orthopedic surgery/CSEA/lower limb/nerve block分类
医药卫生引用本文复制引用
谭金慧..罗哌卡因下肢神经阻滞与CSEA在老年骨科手术中的应用[J].西南国防医药,2017,27(8):811-813,3.
