摘要
目的:评价罗哌卡因在眼科局麻手术应用中的优越性。方法:选择200例需要做眼科手术的病人,由手术医生吸取20mg/mL利多卡因5mL及7.5mg/mL罗哌卡因5mL混和后根据手术要求给病人作球后或球周、眼轮匝肌阻滞及结膜下侵润等局部麻醉。结果:200例病人均能在局部麻醉下顺利完成手术,术中生命体征监测与术前无明显改变,未出现全身毒性反应及其他严重不良反应者。术后对受试者就术中疼痛情况进行视觉模拟评分法(VAS),在200例受试者中,其中评为“优”者为181例,“良”者为17例,“可”者为2例。结论:0.75％罗哌卡因在眼科局麻手术应用中有一定的优越性,值得在眼科手术中推广应用。
Objective: To evaluate the benefits of ropivacaine used in local anesthetic surgery of ophthalmology.Methods:Two hundred patients prepared to have ophthalmic operations were collected. The operation doctor mixed 5mL lidocaine (20mg/mL) and 5mL ropivacaine(7.5mg/mL) together. And then the doctor conducts retrobulbar, peribulbar,orbicularis oculi muscle, or subcon-junctival anesthesia on the patients. Results: All patients underwent the operations successfully in local anesthesia.There were no significant changes of the vital signs in the operations compared to that before operations. And there were no general toxic or other severe adverse effects.The level of patient soreness in the operation was evaluated by method of Visual analogue scale( VAS) . One hundred and eighty-one cases were graded 'excellent',and 17 were graded 'good' ,2 were graded 'not bad' . Conclusions:There are benefits of 0.75% ropivacaine in the local anesthetic surgery of ophthalmology. It is worth further using in ophthalmic surgery.
出处
《医学理论与实践》
2001年第8期773-775,共3页
The Journal of Medical Theory and Practice
关键词
眼科手术
局部麻醉
罗哌卡因
应用
Ophthalmic surgery, Local anesthetics, Ropivacaine
