本文選題：羅哌卡因　切入點：布比卡因　出處：《中國老年學(xué)雜志》2017年23期 　論文類型：期刊論文

【摘要】：目的探討羅哌卡因復(fù)合芬太尼與布比卡因復(fù)合芬太尼在老年膝關(guān)節(jié)置換手術(shù)腰硬聯(lián)合麻醉患者中的應(yīng)用效果。方法將60例擇期行膝關(guān)節(jié)置換手術(shù)的老年患者隨機分為羅哌卡因復(fù)合芬太尼組(RF組)與布比卡因復(fù)合芬太尼組(BF組)。RF組:0.75%羅哌卡因2 ml+芬太尼1 ml(25μg),BF組:0.50%布比卡因2 ml+芬太尼1 ml(25μg)。觀察兩組感覺、運動阻滯效果,麻醉前后的血流動力學(xué)變化及并發(fā)癥。結(jié)果 RF組感覺阻滯達到最高阻滯平面時間明顯長于BF組(P0.01);RF組運動阻滯起效時間長、恢復(fù)時間短,運動阻滯恢復(fù)時間較感覺阻滯恢復(fù)時間短,Bromage評級效果更好(均P0.05);BF組較RF組血流動力學(xué)變化更明顯(P0.05)。結(jié)論羅哌卡因復(fù)合芬太尼在老年膝關(guān)節(jié)置換手術(shù)腰硬聯(lián)合中對血流動力學(xué)影響小,感覺阻滯充分,運動阻滯恢復(fù)快。
[Abstract]:Objective to investigate the effect of ropivacaine combined with fentanyl and bupivacaine combined with fentanyl on spinal and epidural anesthesia in elderly patients undergoing knee arthroplasty. The rats were divided into ropivacaine plus fentanyl group (RF group) and bupivacaine plus fentanyl group (BF group: 0.75% ropivacaine 2 ml fentanyl 2 ml fentanyl 1 ml(25 / g BF group: 0. 50% bupivacaine 2 ml fentanyl 1 ml(25 渭 g). Results the maximum block time in RF group was longer than that in BF group (P 0.01) and the recovery time was shorter in RF group. The recovery time of motor block was shorter than that of sensory block. Bromage rating was better than that of sensory block. Conclusion ropivacaine combined with fentanyl in the spinal and epidural union of knee arthroplasty in elderly patients is more obvious than that in RF group. Hemodynamic effects are small, Sensory block is sufficient and motor block recovers quickly.
【作者單位】： 吉林大學(xué)白求恩第一醫(yī)院麻醉科;
【分類號】：R614

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