山西医科大学学报2018，Vol.49Issue(2)：186-189,4.DOI:10.13753/j.issn.1007-6611.2018.02.019
老年患者髋关节置换术中不同比重罗哌卡因腰麻临床应用比较
Comparison of clinical efficacy of different ratios of ropivacaine in spinal anesthesia for elderly patients undergoing hip arthroplasty
贾丽玲 1李雁楠 1杨光 1张丽慧 1杨建新1
作者信息
- 1. 山西医科大学第二医院麻醉科,太原 030001
- 折叠
摘要
Abstract
Objective To compare the clinical effect of three different ratios of ropivacaine in elderly patients undergoing spinal anes-thesia for hip arthroplasty. Methods Ninty patients undergoing surgery were randomly divided into 3 groups(n=30 each):hyperba-ric group,hypobaric group and isobaric group. Patients in hyperbaric group received ropivacaine 1.5 ml and 10% glucose 1.5 ml for spinal anesthesia,the patients in hypobaric group received ropivacaine 1.5 ml and sterile distilled water 1.5 ml for spinal anesthesia, and the patients in isobaric group received ropivacaine 1.5 ml and 0.9% saline diastolic for spinal anesthesia. The suffered limbs in hypobaric group and isobaric group were upward and in head-up tilt at 15° lateral position,while the suffered limbs in hyperbaric group were downward and in foot-up tilt at 15° lateral position. The onset time of sensory block and motor block,the duration of anesthesia and the recovery time of sensory block and motor block were measured,the variability of SBP,DBP,HR and postoperative adverse effects were recorded. Results The onset time of sensory block and motor block in isobaric group were significantly longer than those in hypobaric group and hyperbaric group(P<0.05). The recovery time of sensory block in isobaric group was significantly longer than that in hyperbaric group(P<0.05),but there was no significant difference between isobaric group and hypobaric group(P>0.05). The recovery time of motor block in isobaric group were significantly shorter than those in hypobaric group and hyperbaric group(P<0.05). The maximum variability of SBP,DBP,HR and postoperative adverse reaction in isobaric group and hypobaric group were low-er than those in isobaric group and hyperbaric group(P<0.05). Conclusion Isobaric ropivacaine for spinal anesthesia has a good effect in elderly patient receiving hip arthroplasty. It can prolong the sensory block time,shorten the recovery time of motor block,pro-vide more stable hemodynamic.关键词
老年/髋关节置换术/罗哌卡因/腰麻Key words
aged/hip arthroplasty/ropivacaine/spinal anesthesia分类
医药卫生引用本文复制引用
贾丽玲,李雁楠,杨光,张丽慧,杨建新..老年患者髋关节置换术中不同比重罗哌卡因腰麻临床应用比较[J].山西医科大学学报,2018,49(2):186-189,4.
