老年患者罗哌卡因与布比卡因蛛网膜下腔阻滞效果的比较（Comparison of the effects of ropivacaine and bupivacaine on subarachnoid block in elderly patients）.docVIP

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老年患者罗哌卡因与布比卡因蛛网膜下腔阻滞效果的比较（Comparison of the effects of ropivacaine and bupivacaine on subarachnoid block in elderly patients）.doc

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老年患者罗哌卡因与布比卡因蛛网膜下腔阻滞效果的比较（Comparison of the effects of ropivacaine and bupivacaine on subarachnoid block in elderly patients）

老年患者罗哌卡因与布比卡因蛛网膜下腔阻滞效果的比较（Comparison of the effects of ropivacaine and bupivacaine on subarachnoid block in elderly patients） Received date: 2009-09-24 Author introduction: Zhang Yansheng (1978-), female, Jilin Province, master, doctor, research direction: Anesthesiology. Fifteenth volume, Journal of Hunan Vocational College of Environmental Biology, Vo.l 15, No. 4, Fourth December 2009 Journal ofHunan Environment-BiologicalPolytechnic Dec. 2009 Article number: 1671-6361 (2009) 04-0021-03 Ropivacaine and bupivacaine in subarachnoid space in elderly patients Comparison of blocking effects Zhang Yansheng, Zhou Zhongqun Department of Anesthesiology, First Hospital Affiliated to Nanhua University, Hunan, Hengyang 421001, China) Abstract: To compare the effect of ropivacaine and bupivacaine on subarachnoid block in lower limb surgery in elderly patients. Methods: elderly patients with lower limb surgery in elective Department of orthopedics were selected A total of 80 patients were randomly divided into two groups, group R (n=40), subarachnoid space, 5mg/ml ropivacaine, 3M, l, B (n=40), subarachnoid space, and 5 Mg/ml bupivacaine 3 M.L was used to evaluate the sensory block effect by acupuncture, recording the onset time of the sensory block, the onset time of the motor block and the highest sensation The blocking time, the duration of anesthesia maintenance, the quality of anesthesia and the effect of muscle relaxation and the adverse reactions after treatment. Results: compared with the B group, the R group got the motor block The effect time was longer, the movement block and sensory block lasted for a short time (P0. 05), and there was no statistical difference in the onset time of sensory block (P 0.05) two groups of anesthesia quality and muscle relaxation effect is better, the quality of anesthesia and muscle relaxation effect no statistical difference (P0. 05); two groups of adverse reactions occur The rates were low and the difference was not statistically signi