different doses of bupivacaine with fentanyl spinal anesthesia for hysterectomy in clinical observation.docVIP

 PAGE \* MERGEFORMAT 11 different doses of bupivacaine with fentanyl spinal anesthesia for hysterectomy in clinical observation [Abstract] Objective To investigate different dose bupivacaine spinal anesthesia with fentanyl Ng hysterectomy for the smallest effective dose for clinical dose to provide the best combination. Methods 75 patients undergoing hysterectomy patients randomly divided into A, B, C three groups of 25 patients. A group of drugs to spinal bupivacaine 5 mg with fentanyl 20 g, B group bupivacaine 7.5 mg and fentanyl 20 g, C group bupivacaine 10 mg and fentanyl 20 g. observe the three groups after treatment, MAP and HR changes, and degree of motor block regression time flat. Results After treatment the three groups have different levels of decline in MAP (P lt;0.05), C group than in the A, B group decreased more significantly (P lt;0.01), A, B group MAP was no significant difference in changes (Pgt; 0.05). A, B group there were cases of low 4,5 blood pressure treatment needed ephedrine, and C group, 17 patients required ephedrine to maintain blood pressure treatment. C group Bromage scores concentrated in the 3 to 4 minutes, while the A, B groups in most cases 2 to 3 points, B, C-dimensional regression time was significantly longer than A (P lt;0 01), but B, C groups showed no significant difference (Pgt; 0.05). Conclusions of three different doses of bupivacaine with 20 g Ng was too fun Nigeria spinal anesthesia can be implemented hysterectomy, and bupivacaine 5.0 mg and 7.5 mg of hemodynamics in patients with small, less side effects, muscle relaxation effect of the anesthetic effect and a considerable, but the 7.5 mg to maintain a longer time, the estimated surgery or surgery may be difficult even for patients with longer periods of time, is worthy of promotion. [Keywords:] spinal anesthesia, bupivacaine, fentanyl, hysterectomy Spinal anesthesia is often used some of the lower abdomen, pelvis, lower limb anesthesia in surgical patient