摘要
目的探讨不同剂量低浓度罗哌卡因腰硬联合麻醉用于下肢手术的麻醉效果。方法选取2013年1月~2014年3月收治的120例行下肢手术患者随机分为A、B、C三组,分别给予0.1%罗哌卡因4.5、6.0、7.5 mg剂量麻醉,比较三组麻醉效果、不良反应及满意度。结果 A组患者麻醉优良率为47.50%,明显比B、C两组麻醉效果差,比较有统计学意义（p〈0.05）,B组麻醉效果最佳,优良率为80.00%,与C组比较无统计学意义（p〉0.05）;C组患者不良反应发生率为17.50%,明显高于A、B两组,比较有统计学意义（p〈0.05）;B组患者满意度最高,为90.00%,其次为C组62.50%,A组满意度最低为27.50%,三组间比较有统计学意义（p〈0.05）。结论 0.1%浓度罗哌卡因腰硬联合麻醉在下肢手术中采用6.0 mg剂量可达到有效麻醉效果,且能减轻不良反应发生率,提高患者满意度,临床用药中可作为重要参考依据。
Objective To investigate the effects of different doses of low concentration of ropivacaine combined with spinal epidural anesthesia during lower extremity operations. Methods 120 patients who underwent lower limb operations in our hospital from January,2013 to March,2014 were randomly divided into A,B,C groups,administered with 4. 5 mg,6. 0 mg,7. 5 mg doses of 0. 1% ropivacaine for anesthesia respectively. The three groups were compared in terms of anesthesia effects,adverse reactions and degree of satisfaction. Results The excellent and good rate of anesthesia in group A was 47. 50%,which was significantly worse than that in groups B and C（ p 〈 0. 05）. The anesthesia effect in group B was the best,with 80% of the excellent and good rate,there having no statistical significance between groups B and C（ p 〉 0. 05）. The incidence rate of adverse reaction in group C was17. 50%,significantly higher than that in groups A and B（ p 〈 0. 05）. The degree of satisfaction in group B was 90%,the highest,followed by 62. 50% in group C,27. 50% in group A. There were statistical significances among the three groups（ p 〈 0. 05）. Conclusion 6mg dose of 0. 1% ropivacaine combined with spinal epidural anesthesia in the lower extremity operations can achieve the satisfactory anesthetic effect,for it can reduce the incidence of adverse reactions,and improve the degree of satisfaction of patients,providing important reference for clinical drug treatment.
出处
《现代医院》
2015年第5期45-46,49,共3页
Modern Hospitals
基金
清远市科学技术局项目(编号:2012B011204111)
关键词
罗哌卡因
腰硬联合
下肢手术
Ropivacaine
Combined spinal epidural
Lower extremity operation
