本文關(guān)鍵詞：羅哌卡因?qū)ρ猜?lián)合麻醉下子宮全切術(shù)患者運(yùn)動(dòng)神經(jīng)阻滯的影響　出處：《檢驗(yàn)醫(yī)學(xué)與臨床》2016年15期 　論文類型：期刊論文

  更多相關(guān)文章： 羅哌卡因 腰硬聯(lián)合麻醉 子宮全切術(shù) 運(yùn)動(dòng)神經(jīng)阻滯

【摘要】：目的研究羅哌卡因?qū)ρ猜?lián)合麻醉下子宮全切術(shù)患者運(yùn)動(dòng)神經(jīng)阻滯的影響。方法收集2014年1月至2015年12月內(nèi)蒙古自治區(qū)婦幼保健醫(yī)院子宮腫瘤患者108例,將患者隨機(jī)分為羅哌卡因組和左旋布比卡因組。主要觀察指標(biāo)為術(shù)中平均動(dòng)脈壓(MAP)、感覺神經(jīng)阻滯時(shí)間、運(yùn)動(dòng)神經(jīng)阻滯時(shí)間和Bromege評分。結(jié)果與左旋布比卡因組相比,羅哌卡因組患者運(yùn)動(dòng)神經(jīng)阻滯時(shí)間顯著縮短[(154.83±35.12)min vs.(190.24±33.06)min,P0.001],Bromege評分顯著降低[(2.46±1.06)分vs.(2.89±0.79)分,P=0.02]。兩組患者術(shù)中各個(gè)時(shí)間點(diǎn)的MAP、感覺神經(jīng)阻滯時(shí)間、惡心、嘔吐和頭痛等并發(fā)癥差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論與左旋布比卡因相比,羅哌卡因在腰硬聯(lián)合麻醉下子宮全切術(shù)中是安全有效的,顯著降低了患者運(yùn)動(dòng)神經(jīng)阻滯時(shí)間。
[Abstract]:Objective to study the effect of ropivacaine on motor nerve block in patients undergoing total hysterectomy under combined spinal-epidural anesthesia. Methods from January 2014 to December 2015, uterine neoplasms in Inner Mongolia Autonomous region Maternal and Child Health Hospital were collected. There were 108 cases. Patients were randomly divided into ropivacaine group and levobupivacaine group. Results compared with the levobupivacaine group, the motor nerve block time of ropivacaine group was significantly shorter than that of levobupivacaine group. [154.83 鹵35.12min vs.(190.24 鹵33.06min P0.001] Bromege score decreased significantly. [The scores of vs.(2.89 鹵0.79 and vs.(2.89 were 2.46 鹵1.06 and 0.02 respectively. The time of sensory nerve block and nausea were measured at different time points during operation in the two groups. There was no significant difference in complications such as vomiting and headache. Conclusion compared with levobupivacaine, ropivacaine is safe and effective in total hysterectomy under combined spinal-epidural anesthesia. The time of motor nerve block was significantly decreased.
【作者單位】： 內(nèi)蒙古自治區(qū)婦幼保健院;內(nèi)蒙古醫(yī)科大學(xué)附屬醫(yī)院;
【基金】：內(nèi)蒙古自治區(qū)自然科學(xué)基金項(xiàng)目(2013MS1139)
【分類號(hào)】：R614
【正文快照】： 目前,腰硬聯(lián)合麻醉在外科手術(shù)中應(yīng)用越來越廣泛[1],其主要原因是腰硬聯(lián)合麻醉具有起效快、時(shí)間可控性強(qiáng)、肌松完全和術(shù)后鎮(zhèn)痛方便等優(yōu)點(diǎn)[2-3]。腰硬聯(lián)合麻醉的常用麻醉藥為羅哌卡因和左旋布比卡因。左旋布比卡因是一種長效酰胺類局麻藥,主要通過降低神經(jīng)細(xì)胞膜上鈉離子的通透，

本文編號(hào)：1398453