本文選題：老年人 + 蛛網(wǎng)膜下腔阻滯��； 參考：《山東醫(yī)藥》2015年19期

【摘要】：目的比較等效劑量羅哌卡因和布比卡因蛛網(wǎng)膜下腔阻滯在老年前列腺增生患者經(jīng)尿道前列腺電切術(shù)中的應(yīng)用效果。方法 80例前列腺增生患者,均接受經(jīng)尿道前列腺電切術(shù)治療,隨機(jī)分為B組與R組,B組給予0.3%布比卡因2.4 m L行蛛網(wǎng)膜下腔阻滯,R組給予0.5%羅哌卡因2.4 m L行蛛網(wǎng)膜下腔阻滯。觀察兩組患者的麻醉效果、呼吸抑制以及并發(fā)癥發(fā)生情況。結(jié)果兩組最高麻醉平面比較無統(tǒng)計(jì)學(xué)差異;與B組相比,R組T12阻滯維持時(shí)間、鎮(zhèn)痛維持時(shí)間、運(yùn)動(dòng)阻滯維持時(shí)間短,感覺阻滯起效時(shí)間、運(yùn)動(dòng)阻滯起效時(shí)間長(P均0.01)。與麻醉前相比,B組麻醉后基礎(chǔ)潮氣量、每分鐘靜息通氣量、呼氣峰流量和第1秒用力呼氣量均降低(P均0.05)。與B組相比,R組麻醉后基礎(chǔ)潮氣量、每分鐘靜息通氣量、呼氣峰流量、第1秒用力呼氣量高(P均0.05)。兩組均未出現(xiàn)嚴(yán)重心律失常和術(shù)后腰痛。結(jié)論與布比卡因蛛網(wǎng)膜下腔阻滯相比,老年前列腺增生患者在經(jīng)尿道前列腺電切術(shù)中應(yīng)用等效劑量的羅哌卡因感覺和運(yùn)動(dòng)恢復(fù)更快,對(duì)患者呼吸功能的影響更小,具有更高的安全性。
[Abstract]:Objective to compare the effect of equivalent dose ropivacaine and bupivacaine subarachnoid block in transurethral resection of prostate in elderly patients with prostatic hyperplasia. Methods 80 patients with benign prostatic hyperplasia were treated by transurethral resection of prostate. Group B and group R were randomly divided into two groups: group B and group B were given 0.3% bupivacaine 2.4 mL for subarachnoid block. Group R was given 0.5% ropivacaine 2.4 mL for subarachnoid block. The anesthetic effect, respiratory inhibition and complications were observed in both groups. Results there was no significant difference in the highest anesthesia level between the two groups, and the maintenance time of T12 block, analgesia, motor block, sensory block and motor block were shorter than those in group B (P 0.01). Compared with those before anesthesia, the basic tidal volume, resting ventilation volume per minute, peak expiratory flow and forced expiratory volume at the 1st second in group B were significantly lower than those before anesthesia (all P 0.05). Compared with group B, the basic tidal volume, resting ventilation volume, peak expiratory flow and forced expiratory volume in group R were higher than those in group B (P 0.05). There was no severe arrhythmia and postoperative low back pain in both groups. Conclusion compared with Bupivacaine subarachnoid block, the sensory and motor recovery of the elderly patients with prostatic hyperplasia treated with equivalent dose of ropivacaine during transurethral resection of the prostate is faster, and the effect of ropivacaine on respiratory function is less than that of Bupivacaine in subarachnoid block. It has higher security.
【作者單位】： 新疆喀什地區(qū)第二人民醫(yī)院;同濟(jì)大學(xué)附屬上海市肺科醫(yī)院;
【分類號(hào)】：R614.4

【共引文獻(xiàn)】

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本文編號(hào)：2096584