研究腰硬联合麻醉应用重比重罗哌卡因在老年下肢手术中对循环功能影响.docVIP

研究腰硬联合麻醉应用重比重罗哌卡因在老年下肢手术中对循环功能影响 　　【摘 要】 目的：研究腰硬联合麻醉应用重比重罗哌卡因对老年下肢手术循环功能的影响。方法：2014年10月-2015年10月本院收治老年下肢手术患者多例，选取其中的80例作为对象，以麻醉用药为参考依据，将其均分为观察组（40例）及对照组（40例）。两组药液均配制成重比重液。观察组：由1ml10%葡萄糖与2mnl0.75%罗哌卡因配制而成的1.5ml0.5%罗哌卡因，对照组：由1ml10%葡萄糖与2mnl0.75%布比卡因配制而成的1.5ml0.5%布比卡因，选取L3.4椎间隙为穿刺部位。待成功后完成腰麻。结果：在血流动力学影响方面，观察组明显比对照组小（P0.05）。完成麻醉10min后，对照组BP明显下降，基础值与麻醉后20mina内最小值差异具有统计学意义（P0.05），对照组与观察组差异显著，具有统计学意义（P0.05）。监测时间段内，观察组1例使用麻黄碱，对照组7例使用麻黄碱，观察组明显比对照组少，两组均未使用阿托品。结论：重比重罗哌卡因不仅循环波动较小，而且十分平稳，适用于老年下肢手术。 　　【关键词】 腰硬联合麻醉 重比重罗哌卡因 老年下肢手术 循环功能 　　【Abstract】 Objective： To study the combined spinal-epidural anesthetic hyperbaric ropivacaine for lower limb surgery in elderly circulatory function. Methods： October 2014 - October 2015 lower limb surgery in elderly patients admitted to hospital more cases， select one of the 80 examples of the object to the reference of narcotic drugs， which were divided into observation group （40 cases） and control group （40 cases）. Both groups were formulated into liquid hyperbaric solution. Observer Group： from 1ml10% glucose 2ml0.75% ropivacaine prepared from 1.5ml0.5% ropivacaine group： from 1ml10% glucose 2ml0.75% bupivacaine prepared from 1.5ml0.5% bupivacaine， L3.4 of the puncture site. Pending successful completion of spinal anesthesia. Results： Hemodynamics regard， the observation group was significantly smaller than the control group （P 0.05）. After the anesthesia 10min， BP control group decreased significantly， and the minimum baseline differences within 20min after anesthesia was statistically significant （P 0.05）， the control group and the observation group were significantly different， statistically significant （P 0.05）. Monitoring period， observation group 1 patients using ephedrine， ephedrine seven cases， the observation group was significantly less in the control group than the control group， two groups were not using atropine. CONCLUSION： The hyperbaric ropivacaine cycle fluctuations only smaller， but very stable， suitable for elderly lower l