探讨盐酸氯普鲁卡因硬膜外麻醉在腹部吸脂手术中的应用

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1、探讨盐酸氯普鲁卡因硬膜外麻醉在腹部吸脂手术中的应用黑龙江省哈尔滨市公安医院150010摘要：目的：研宄分析国产盐酸氯普兽卡因硬膜外麻醉用于腹部吸脂手术的麻醉效果。方法：此次研究的对象是选择60例ASAI〜II级腹部吸脂手术患者施行硬膜外麻醉，分为实验组和对照组，每组各30例。T10-11间隙行硬膜外穿刺，头侧置管3cm,分别给予2%盐酸氯普兽卡因和2%盐酸利多卡因。观察麻醉起效时间、痛觉消失时间、运动阻滞时间、痛觉恢复时间、运动恢复时间以及不良反应，并记录麻醉前及麻醉后10min、30min、60min的心率、血压、呼吸次数、脉搏氧饱和度，并进行组间比较。结果：两组阻滞效

2、能相当，麻醉起效时间分别为4.3±l.lmin和5.1±1.3min(P>0.05)，痛觉消失时间分别为8.5±2.4min和13.0±2.3min(P<0.05),运动阻滞时间分别为16.9±3.4min和20.4±3.6min(P<0.05)，痛觉恢复时间分别为73.5±9.1min和82.1±10.9min(P<0.05)，运动恢复时间分别78.7±9.6min和98.4±11.4min(P<0.0

3、5)o实验组一旦痛觉恢复5分钟后痛觉即比对照组明显(P<0.05),运动也几乎同时恢复。结论：盐酸氯普鲁卡因硬膜外麻醉用于腹部吸脂手术，肌松满意，安全可靠，对患者生理影响较轻。关键词：盐酸氯普兽卡因;盐酸利多卡因;硬膜外麻醉;腹部吸脂手术[Abstract]Objective：Tostudytheanalysisofchloroprocaineepiduralanesthesiaforabdominalliposuctionsurgery.Methods：thesubjectsofthisstudyistoselect60casesofASAI~2abdominal

4、liposuctionsurgeryunderwentepiduralanesthesia,dividedintoexperimentalgroupandcontrolgroup,30casesineachgroup.T10-llepiduralspacepuncture,cephaliccatheter3cm,weretreatedwith2%chloroprocainehydrochlorideand2%lidocainehydrochloride.Toobservetheonsettimeofanesthesia,theonsettime,motorblocktim

5、e，painrecoverytime，recoverytimeandadversereactions，andrecordedbeforeanesthesiaand10minafteranesthesia，30min，60minofheartrateandbloodpressureandrespiratoryrate，pulseoxygensaturation，andcomparisonbetweengroups.Results：thetwogroupsofanesthesiaefficacyonsettimeofanesthesia,were4.3+l.lminand5.

6、1+1.3min(P>0.05)，thepaindisappearedtimewere8.5+2.4minand13+2.3min(P<0.05),motorblocktimewas16.9+3.4minand20.4+3.6min(P<0.05)，painrecoverytimewas73.5.9.lminand82.1+10.9min(P<0.05),motorrecoverytimewere78.7+9.6minand98.4+11.4min(P<0.05).lntheexperimentalgroup,thepainrecovered

7、5minuteslaterthanthecontrolgroup(P<0.05)，andthemovementwasalmostsimultaneous.Conclusion：chloroprocaineepiduralanesthesiaforabdominalliposuction,satisfactorymusclerelaxation,safeandreliable,withlessimpactonphysiology.[Keywords]chloroprocainehydrochloride;lidocaine