摘要
目的 观察比较罗哌卡因硬膜外 ,硬—脊联合阻滞用于经尿道输尿管肾镜气压弹道碎石术的麻醉效果。方法 ASAⅠ～Ⅱ级行择期经尿道输尿管肾镜气压弹道碎石术病人 45例随机分成 3组 ,Ⅰ组罗哌卡因 0 .75 %T1 0～ 1 1间隙硬膜外阻滞 ,Ⅱ组行L2～ 3间隙硬膜外阻滞 ,Ⅲ组行 0 .3 3 %罗哌卡因硬—脊联合阻滞。观察比较感觉阻滞起效时间、感觉恢复时间、麻醉平面、镇痛效果。结果 Ⅲ组感觉阻滞起效明显快于Ⅰ、Ⅱ组 (P <0 .0 1) ,其感觉阻滞持续时间长于Ⅰ、Ⅱ组 ,并且其对血压影响大于其它两组 (P <0 .0 5 ) ;3组术中镇痛效果依次为第Ⅲ、Ⅰ、Ⅱ组 (P <0 .0 5 )。Ⅰ、Ⅱ组感觉阻滞起效及阻滞时间相仿 (P >0 .0 5 )。结论 :罗哌卡因硬膜外阻滞和硬—脊联合阻滞均可用于经尿道输尿管肾镜气压弹道碎石术麻醉 。
Objective To observe the effects of ropivacaine EA and E-SA on transurethral ureteroscope pneumatic lithotrities.Methods 45 patients ASA status Ⅰ～Ⅱ scheduled for transurethral ureteroscope pneumatic lithotrities were randomly divided into 3 groups.Group Ⅰ received EA (T 10～11 ) with 0.75% ropivacaine,group Ⅱ received EA (L 2～3 ) with 0.75% ropivacaine,and group Ⅲ received E-SA with 0.33% ropivacaine.Recorded start and duration of sensory blockade,range of sensory blockade and analgesic effect.Results The start of group Ⅲ was sooner than those of group Ⅰ and Ⅱ (P<0.01),and its sensory blockade duration was longer than those of group Ⅰ and Ⅱ,at the same time,it had more unstable hemodynamics.The order of analgesic effect of them was group Ⅲ?group Ⅰ and group Ⅱ (P<0.05).There was no difference between the group Ⅰ and Ⅱ of the start and duration of sensory blockade (P>0.05).Conclusions Ropivacaine EA and E-SA can be applied to transurethral ureteroscope pneumatic lithotrities,and the effect of E-SA should be better.
出处
《海南医学》
CAS
2003年第12期25-26,共2页
Hainan Medical Journal
