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时间:2020-05-02
《不同浓度盐酸罗哌卡因用于下肢神经阻滞麻醉效果探讨.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·76·临京医学工农2014年1月第21卷第1期·论著·(临床研究)不同浓度盐酸罗哌卡因用于下肢神经阻滞麻醉效果探讨谢明亮(广东省深圳市龙岗区南湾人民医院麻醉科,广东深圳518114)【摘要】目的探讨不同浓度的盐酸罗哌卡因用于下肢神经阻滞麻醉效果。方法选择我院2010年6月至2012年6月期间行下肢手术的患者78例,随机分为A组、B组、c组各26例,均采取PNS行腰丛一坐骨神经阻滞,盐酸罗卡因浓度分别为O.25%(A组)、0.375%(B组)、O.5%(c组),观察三组患者使用不同浓度的盐酸罗卡因的麻醉效果。结果B组感觉阻滞
2、起效时间为(25.5±4.5)min,明显慢于c组,但快于A组;B组的运动阻滞比例为57.6%,明显低于C组,高于A组;其B组、c组间神经阻滞成功率均为73.1%,无明显差异,但B组、c组明显高于A组,比较差异均有统计学意义(P3、EfectofDiferentConcentrationofRopivacaineHydrochlorideforNerveBlockAnesthesiaofLowerLimbX/EMingliang(DepartmentofAnesthesiology,NanwanPeopleHospitalofLonggangDistrict,Shenzhen518114,China)【Abstract]ObjectiveToinvestigatetheefectofdiferentconcentrationsofropivacaine4、hydrochloridefornerveblockanesthesiaoflowerlimb.Methods78patientswithlowerlimbsurgeryinourhospitalfromJune2010toJune2012wereselectedanddividedinto3groups,with26casesineachgroup.Allcasesreceivedthecombinedlumbarplexus—sciaticnerveblockade,withtheconcentrationsofropi5、vacainehydrochlorideof0.25%(groupA),O.375%(groupB),andO.5%(groupC).Theanestheticefectsof3groupswereobserved.ResultsTheonsettimeofsensoryblockageofgroupBwas(25.5±4.5)min,lowerthanthatofgroupC,buthigherthanthatofgroupA.TheratioofmotorblockageofgroupBwas57.6%,signific6、antlylowerthanthatofgroupC,buthigherthanthatofgroupA.TheSuccessrateofnerveblockwas73.1%ingroupBandgroupC,significantlyhigherthanthatingroupA(P<0.05).ConclusionsTheconcentrationofropivacaineofO.375%forlowerlimbnerveblockanesthesiacanreducetheamountofdrugs,andanesthe7、ticefectcanbeguaranteed,theclinicalneedscanbemet,whichisworthyofpromotionandapplication.【Keywords】Nerveblockanesthesia;Lowerextremity;Ropivacainehydrochloride神经阻滞麻醉为临床手术较为常用的麻醉方法.在骨创伤变的患者。的手术麻醉中相对比较重要,其中盐酸罗哌卡因已广泛应用于1.2方法进行手术前30rain,均予患者0.1mg鲁米钠,并行下肢神经阻滞麻醉]。盐酸罗哌卡因是酰8、胺类的新型长效局麻心率、血氧饱和度、心电图、血压等常规监测。三组患者给予药,具有低毒、高效的特点,目前是外周神经阻滞的首选药盐酸罗哌卡因的浓度分别是A组0.25%。B组0.375%,C组物。为进一步探讨不同浓度的盐酸罗哌卡因用于下肢神经阻滞0.5%,容量均为55mL,其中30mL为腰丛阻滞
3、EfectofDiferentConcentrationofRopivacaineHydrochlorideforNerveBlockAnesthesiaofLowerLimbX/EMingliang(DepartmentofAnesthesiology,NanwanPeopleHospitalofLonggangDistrict,Shenzhen518114,China)【Abstract]ObjectiveToinvestigatetheefectofdiferentconcentrationsofropivacaine
4、hydrochloridefornerveblockanesthesiaoflowerlimb.Methods78patientswithlowerlimbsurgeryinourhospitalfromJune2010toJune2012wereselectedanddividedinto3groups,with26casesineachgroup.Allcasesreceivedthecombinedlumbarplexus—sciaticnerveblockade,withtheconcentrationsofropi
5、vacainehydrochlorideof0.25%(groupA),O.375%(groupB),andO.5%(groupC).Theanestheticefectsof3groupswereobserved.ResultsTheonsettimeofsensoryblockageofgroupBwas(25.5±4.5)min,lowerthanthatofgroupC,buthigherthanthatofgroupA.TheratioofmotorblockageofgroupBwas57.6%,signific
6、antlylowerthanthatofgroupC,buthigherthanthatofgroupA.TheSuccessrateofnerveblockwas73.1%ingroupBandgroupC,significantlyhigherthanthatingroupA(P<0.05).ConclusionsTheconcentrationofropivacaineofO.375%forlowerlimbnerveblockanesthesiacanreducetheamountofdrugs,andanesthe
7、ticefectcanbeguaranteed,theclinicalneedscanbemet,whichisworthyofpromotionandapplication.【Keywords】Nerveblockanesthesia;Lowerextremity;Ropivacainehydrochloride神经阻滞麻醉为临床手术较为常用的麻醉方法.在骨创伤变的患者。的手术麻醉中相对比较重要,其中盐酸罗哌卡因已广泛应用于1.2方法进行手术前30rain,均予患者0.1mg鲁米钠,并行下肢神经阻滞麻醉]。盐酸罗哌卡因是酰
8、胺类的新型长效局麻心率、血氧饱和度、心电图、血压等常规监测。三组患者给予药,具有低毒、高效的特点,目前是外周神经阻滞的首选药盐酸罗哌卡因的浓度分别是A组0.25%。B组0.375%,C组物。为进一步探讨不同浓度的盐酸罗哌卡因用于下肢神经阻滞0.5%,容量均为55mL,其中30mL为腰丛阻滞
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