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时间:2020-04-22
《芬太尼复合小剂量布比卡因腰麻在老年患者下肢手术中的应用-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、·1088·2013年11月第29卷第11期JClinAnesthesiol,Novembe!!:!:.临床研究·芬太尼复合小剂量布比卡因腰麻在老年患者下肢手术中的应用汪伟郁万友钱燕宁【摘要】目的观察老年患者下肢手术中采用芬太尼复合布比卡因腰麻的临床效果。方法择期行下肢手术的老年患者120例,随机均分为三组:A组蛛网膜下腔仅注入0.5布比卡因4mg,B组和C组分别复合芬太尼1Og和2Og。记录感觉和运动阻滞时间以及术后不良反应发生情况。结果A组最高阻滞平面明显低于B、c组(P2、阻滞时间明显长于A、B组,且B组明显长于A组(P3、yUzn·you,elANYan—ning.Department0fAnesthesiology,JiangningHospitalAfiliatedtoNanjingMedicalUniversity,Naniing211000,ChinaCorrespondingauthor:QJANYah—ning,Email:yanning_qian@163.corn[Abstract]ObjectiveToinvestigatetheclinicaleffectsofusing10gor2O/lgfen4、tanylcombinedwith4mgbupivacaineinelderlypatientsundergoinglowerlimbsurgery.MethodsOnehundredandtwentycasesofelderlypatientsundergoinglowerlimboperation,ASAIorII,wererandomlydividedintothreegroupsaccordingtodrugoflumbaranesthesia:groupAreceivedasubarac5、hnoidinjectionof4mg0.5bupivacaine,whereasgroupsBandCreceivedsubarachnoidinjectionsof4mg0.5bupivacaineplus10/*gor20gfentanyl,respectively.Thespinalanesthesiadrugsofallthreegroupsweredilutedto2mlisobaricsolutionusingnormalsaline.BP,HR,theincidenceofhypo6、tension,ephedrineusage,sensoryandmotorblockonsettimeandtheoccurrenceofadversereactionsafteroperationswerealsorecordedinallthreegroups.Incasethe1evelofsensoryblockcouldnotmeettheoperationrequirements。patientsreceivedanextra5-10mlof1.5lidocaineepidurall7、y.ResultsPatientsingroupsBandCwereallsatisfiedwithanesthesiawhilefivepatientsingroupArequiredsupplementaryepiduralanesthetics.ThehighestlevelofsensoryblockingroupAwaslowerthanthoseingroupsBandC.Therewasnosignificantdifferencebetweenthelattertwogroups.8、OnepatientineachofgroupsAandBrequiredephedrineduetohypotension,whilenopatientsingroupChadthisrequirement.DurationofsensoryblockingroupCwassignificantlylongerthanthoseingroupsAandB(P
2、阻滞时间明显长于A、B组,且B组明显长于A组(P3、yUzn·you,elANYan—ning.Department0fAnesthesiology,JiangningHospitalAfiliatedtoNanjingMedicalUniversity,Naniing211000,ChinaCorrespondingauthor:QJANYah—ning,Email:yanning_qian@163.corn[Abstract]ObjectiveToinvestigatetheclinicaleffectsofusing10gor2O/lgfen4、tanylcombinedwith4mgbupivacaineinelderlypatientsundergoinglowerlimbsurgery.MethodsOnehundredandtwentycasesofelderlypatientsundergoinglowerlimboperation,ASAIorII,wererandomlydividedintothreegroupsaccordingtodrugoflumbaranesthesia:groupAreceivedasubarac5、hnoidinjectionof4mg0.5bupivacaine,whereasgroupsBandCreceivedsubarachnoidinjectionsof4mg0.5bupivacaineplus10/*gor20gfentanyl,respectively.Thespinalanesthesiadrugsofallthreegroupsweredilutedto2mlisobaricsolutionusingnormalsaline.BP,HR,theincidenceofhypo6、tension,ephedrineusage,sensoryandmotorblockonsettimeandtheoccurrenceofadversereactionsafteroperationswerealsorecordedinallthreegroups.Incasethe1evelofsensoryblockcouldnotmeettheoperationrequirements。patientsreceivedanextra5-10mlof1.5lidocaineepidurall7、y.ResultsPatientsingroupsBandCwereallsatisfiedwithanesthesiawhilefivepatientsingroupArequiredsupplementaryepiduralanesthetics.ThehighestlevelofsensoryblockingroupAwaslowerthanthoseingroupsBandC.Therewasnosignificantdifferencebetweenthelattertwogroups.8、OnepatientineachofgroupsAandBrequiredephedrineduetohypotension,whilenopatientsingroupChadthisrequirement.DurationofsensoryblockingroupCwassignificantlylongerthanthoseingroupsAandB(P
3、yUzn·you,elANYan—ning.Department0fAnesthesiology,JiangningHospitalAfiliatedtoNanjingMedicalUniversity,Naniing211000,ChinaCorrespondingauthor:QJANYah—ning,Email:yanning_qian@163.corn[Abstract]ObjectiveToinvestigatetheclinicaleffectsofusing10gor2O/lgfen
4、tanylcombinedwith4mgbupivacaineinelderlypatientsundergoinglowerlimbsurgery.MethodsOnehundredandtwentycasesofelderlypatientsundergoinglowerlimboperation,ASAIorII,wererandomlydividedintothreegroupsaccordingtodrugoflumbaranesthesia:groupAreceivedasubarac
5、hnoidinjectionof4mg0.5bupivacaine,whereasgroupsBandCreceivedsubarachnoidinjectionsof4mg0.5bupivacaineplus10/*gor20gfentanyl,respectively.Thespinalanesthesiadrugsofallthreegroupsweredilutedto2mlisobaricsolutionusingnormalsaline.BP,HR,theincidenceofhypo
6、tension,ephedrineusage,sensoryandmotorblockonsettimeandtheoccurrenceofadversereactionsafteroperationswerealsorecordedinallthreegroups.Incasethe1evelofsensoryblockcouldnotmeettheoperationrequirements。patientsreceivedanextra5-10mlof1.5lidocaineepidurall
7、y.ResultsPatientsingroupsBandCwereallsatisfiedwithanesthesiawhilefivepatientsingroupArequiredsupplementaryepiduralanesthetics.ThehighestlevelofsensoryblockingroupAwaslowerthanthoseingroupsBandC.Therewasnosignificantdifferencebetweenthelattertwogroups.
8、OnepatientineachofgroupsAandBrequiredephedrineduetohypotension,whilenopatientsingroupChadthisrequirement.DurationofsensoryblockingroupCwassignificantlylongerthanthoseingroupsAandB(P
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