中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2013年
5期
540-542
,共3页
麻醉药,联用%麻醉,脊椎%麻醉,硬膜外%子宫切除术
痳醉藥,聯用%痳醉,脊椎%痳醉,硬膜外%子宮切除術
마취약,련용%마취,척추%마취,경막외%자궁절제술
Anesthetics,combined%Anesthesia,spinal%Anesthesia,epidural%Hystcrectomy
目的 探讨不同剂量罗哌卡因联合利多卡因腰硬联合麻醉对老年子宫切除术患者的麻醉效果,并进行统计分析. 方法 选择2009年4月至2012年6月本院收治的子宫切除老年患者100例,随机分为低剂量组和高剂量组,每组50例.低剂量组给予罗哌卡因10 mg联合利多卡因,高剂量组给予罗哌卡因15 mg联合利多卡因,均采取腰硬联合麻醉,观察两组的麻醉效果. 结果 高剂量组的感觉阻滞起效时间显著短于低剂量组[(159±21)s和(225±23)s,t=3.412,P＜0.05],最高平面出现时间显著短于低剂量组[(7.3±1.3)min和(9.2±1.5)min,t=2.877,P＜0.05],最高平面维持时间也显著长于低剂量组[(57.3±8.1)min和(45.3±7.2)min,t=2.623,P＜0.05]；高剂量组的运动阻滞起效时间明显短于低剂量组[(4.3±1.2)min和(6.9±1.3)min,t=3.109,P＜0.05],而运动阻滞维持时间显著长于低剂量组[(161±16)min和(133±14)min,t=2.793,P＜0.05]；2组改良Bromage评分差异无统计学意义(P＞0.05),高剂量组麻醉效果优良率为94％,低剂量组为80％(x2=4.33,P＜0.05)；2组的不良反应发生率比较,差异无统计学意义(P＞0.05). 结论 采用15 mg剂量的罗哌卡因联合利多卡因腰硬联合麻醉对老年妇女子宫切除术的麻醉效果较好,可作为临床实践参考.
目的 探討不同劑量囉哌卡因聯閤利多卡因腰硬聯閤痳醉對老年子宮切除術患者的痳醉效果,併進行統計分析. 方法 選擇2009年4月至2012年6月本院收治的子宮切除老年患者100例,隨機分為低劑量組和高劑量組,每組50例.低劑量組給予囉哌卡因10 mg聯閤利多卡因,高劑量組給予囉哌卡因15 mg聯閤利多卡因,均採取腰硬聯閤痳醉,觀察兩組的痳醉效果. 結果 高劑量組的感覺阻滯起效時間顯著短于低劑量組[(159±21)s和(225±23)s,t=3.412,P＜0.05],最高平麵齣現時間顯著短于低劑量組[(7.3±1.3)min和(9.2±1.5)min,t=2.877,P＜0.05],最高平麵維持時間也顯著長于低劑量組[(57.3±8.1)min和(45.3±7.2)min,t=2.623,P＜0.05]；高劑量組的運動阻滯起效時間明顯短于低劑量組[(4.3±1.2)min和(6.9±1.3)min,t=3.109,P＜0.05],而運動阻滯維持時間顯著長于低劑量組[(161±16)min和(133±14)min,t=2.793,P＜0.05]；2組改良Bromage評分差異無統計學意義(P＞0.05),高劑量組痳醉效果優良率為94％,低劑量組為80％(x2=4.33,P＜0.05)；2組的不良反應髮生率比較,差異無統計學意義(P＞0.05). 結論 採用15 mg劑量的囉哌卡因聯閤利多卡因腰硬聯閤痳醉對老年婦女子宮切除術的痳醉效果較好,可作為臨床實踐參攷.
목적 탐토불동제량라고잡인연합리다잡인요경연합마취대노년자궁절제술환자적마취효과,병진행통계분석. 방법 선택2009년4월지2012년6월본원수치적자궁절제노년환자100례,수궤분위저제량조화고제량조,매조50례.저제량조급여라고잡인10 mg연합리다잡인,고제량조급여라고잡인15 mg연합리다잡인,균채취요경연합마취,관찰량조적마취효과. 결과 고제량조적감각조체기효시간현저단우저제량조[(159±21)s화(225±23)s,t=3.412,P＜0.05],최고평면출현시간현저단우저제량조[(7.3±1.3)min화(9.2±1.5)min,t=2.877,P＜0.05],최고평면유지시간야현저장우저제량조[(57.3±8.1)min화(45.3±7.2)min,t=2.623,P＜0.05]；고제량조적운동조체기효시간명현단우저제량조[(4.3±1.2)min화(6.9±1.3)min,t=3.109,P＜0.05],이운동조체유지시간현저장우저제량조[(161±16)min화(133±14)min,t=2.793,P＜0.05]；2조개량Bromage평분차이무통계학의의(P＞0.05),고제량조마취효과우량솔위94％,저제량조위80％(x2=4.33,P＜0.05)；2조적불량반응발생솔비교,차이무통계학의의(P＞0.05). 결론 채용15 mg제량적라고잡인연합리다잡인요경연합마취대노년부녀자궁절제술적마취효과교호,가작위림상실천삼고.
Objective To explore and analyze the anesthetic effects of different doses of ropivacaine combined with lidocaine for epidural anesthesia in elderly patients undergoing hysterectomy.Methods A total of 100 elderly patients who required hysterectomy in our hospital from April 2009 to June 2012 were randomly divided into the low dose group and the high dose group (n=50,each group).The low dose group was given 10 mg ropivacaine combined with lidocaine for lumbar epidural anesthesia,and the high dose group was given 15 mg ropivacaine combined with lidocaine for lumbar epidural anesthesia.The anesthetic effects in the two groups were observed.Results The onset time of sensory block and highest plane time were significantly shorter in high dose group than in low dose group [(159±21) s vs.(225±23) s,(7.3±1.3) min vs.(9.2±1.5) min,respectively,t=3.412 and 2.877,both P＜0.05)].The maintenance time of highest plane was significantly longer in high dose group than in low dose group [(57.3±8.1) min vs.(45.3±7.2)min,t=2.623,P＜0.05].The onset time of movement block was shorter in high-dose group than in low dose group[(4.3±1.2) min vs.(6.9±1.3) min,t=3.109,P＜0.05],while the maintenance time of movement was longer in high-dose group than in low dose group[(161 ± 16) min vs.(133 ±14) min,t=2.793,P＜0.05].There were no significant differences in modified Bromage Score between the two groups (P＞0.05).The excellent anesthetic effect was significantly higher in high dose group than in low dose group (90％ vs.80％,x2 =4.33,P＜0.05).There were no significant differences in the incidence of adverse reactions between the two groups (P＞0.05).Conclusions The application of 15 mg ropivacaine combined with lidocaine has a better anesthetic effect for lumbar epidural anesthesia in elderly patients undergoing hysterectomy.It can provide a reference for the clinical practice.
