探讨盐酸氯普鲁卡因硬膜外麻醉在腹部吸脂手术中的应用.docVIP

精品论文 参考文献 探讨盐酸氯普鲁卡因硬膜外麻醉在腹部吸脂手术中的应用 黑龙江省哈尔滨市公安医院 150010 　　摘要：目的：研究分析国产盐酸氯普鲁卡因硬膜外麻醉用于腹部吸脂手术的麻醉效果。方法：此次研究的对象是选择60例ASA I～Ⅱ级腹部吸脂手术患者施行硬膜外麻醉，分为实验组和对照组，每组各30例。T10-11间隙行硬膜外穿刺，头侧置管3cm，分别给予2%盐酸氯普鲁卡因和2%盐酸利多卡因。观察麻醉起效时间、痛觉消失时间、运动阻滞时间、痛觉恢复时间、运动恢复时间以及不良反应，并记录麻醉前及麻醉后10 min、3 0 min、60 min的心率、血压、呼吸次数、脉搏氧饱和度，并进行组间比较。结果：两组阻滞效能相当，麻醉起效时间分别为4.3plusmn;1.1min和5.1plusmn;1.3min（Pgt;0.05），痛觉消失时间分别为8.5plusmn;2.4min和13.0plusmn;2.3min（Plt;0.05），运动阻滞时间分别为16.9plusmn;3.4min和20.4plusmn;3.6min（Plt;0.05），痛觉恢复时间分别为73.5plusmn;9.1min和82.1plusmn;10.9min（Plt;0.05），运动恢复时间分别78.7plusmn;9.6min和98.4plusmn;11.4min（Plt;0.05）。实验组一旦痛觉恢复5分钟后痛觉即比对照组明显（Plt;0.05），运动也几乎同时恢复。结论：盐酸氯普鲁卡因硬膜外麻醉用于腹部吸脂手术，肌松满意，安全可靠，对患者生理影响较轻。 　　关键词：盐酸氯普鲁卡因;盐酸利多卡因;硬膜外麻醉;腹部吸脂手术 　　[Abstract]Objective：To study the analysis of chloroprocaine epidural anesthesia for abdominal liposuction surgery.Methods：the subjects of this study is to select 60 cases of ASA I ~ 2 abdominal liposuction surgery underwent epidural anesthesia，divided into experimental group and control group，30 cases in each group.T10-11 epidural space puncture，cephalic catheter 3cm，were treated with 2% chloroprocaine hydrochloride and 2% lidocaine hydrochloride.To observe the onset time of anesthesia，the onset time，motor block time，pain recovery time，recovery time and adverse reactions，and recorded before anesthesia and 10 min after anesthesia，30 min，60 min of heart rate and blood pressure and respiratory rate，pulse oxygen saturation，and comparison between groups.Results：the two groups of anesthesia efficacy onset time of anesthesia，were 4.3 + 1.1min and 5.1 + 1.3min（Pgt;0.05），the pain disappeared time were 8.5 + 2.4min and 13 + 2.3min（Plt;0.05），motor block time was 16.9 + 3.4min and 20.4 + 3.6min（Plt;0.05），pain recovery time was 73.5.9.1min and 82.1 + 10.9min（Plt;0.05），motor recovery time were 78.7 + 9.6min and 98.4 + 11.4min（Plt;0.05）.In the experimental group，the pain recovered 5 minutes later than the control group（Plt;0.05），and the movement was almost simultaneous.Conclusion：chl