摘要
目的:比较年龄65岁以上的老年病人用Spinocath针外导管套针行连续腰麻(CSA),联合腰麻(CSEA)和连硬外(CEA)的临床效果。方法;随机分为连续腰麻(CSA)组(Ⅰ组)和联合腰麻(CESA)组(Ⅱ组),连硬外(CEA)组(Ⅲ组),Ⅰ组负荷剂量为0.375%布比卡因3～4ml分1～2次注入;Ⅱ组注入0.375%布比卡因3～4ml,然后向头端置硬膜外导管3cm;Ⅲ组负荷量0.5%布比卡因8～15ml。结果:Ⅰ组、Ⅱ组与Ⅲ组比较痛觉阻滞平面显效时间明显缩短,运动阻滞评分显著增加;给药后血压下降程度Ⅱ组和Ⅲ组明显大于Ⅰ组(P<0.01),Ⅱ组和Ⅲ组之间无显著性差异。结论:Spinocath针外导管套针用于CSA是较适合老年人下腹以下手术麻醉的方法。
Objective To evaluate the effect of continuous spinal anesthesia(CSA)wi th a 'catheter-over-nee-dle'system of spinocath and combined spi nal-ep idural anesthesia(CSEA)and continuous epidural an-esthesia(CEA)for the age d patients .Methods They were randomly divided into thre e groups :groupⅠcont inuous spinal anesthesia(CSA);groupⅡcombined spinal-epidural anesthesia(C SEA)and groupⅢepidural anesthesia(CEA).Spinal anesthesia uses the drug rece ived 0.375%bupivacaine of heavy specific weight drug for surgery.Aload i ng does of 3～4ml (groupⅠ),divide to infuse into 1～2times,or 3～4ml (groupⅡ),or 0.5%bupivacaine 8～15ml (groupⅢ)was given.Results The onset of block was significantly faster in groupⅠand groupⅡthan that in the g roupⅢ.Conclusion Continuous spinal anesthesia had th e advantage of faster ons et of block,better analgesia,more intense motor block with less local anesthet ic.
出处
《安徽卫生职业技术学院学报》
2003年第5期16-17,28,共3页
Journal of Anhui Health Vocational & Technical College
基金
该项目是芜湖市科技局资助科研项目
关键词
麻醉
脊髓
老年人
导管
血液动力学
anesthesia
spinal cord
the aged
pipe
blood dynamics
