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Clinical Effect of Combined Lumbar Epidural Anesthesia with Ropivacaine in Elderly Patients Undergoing Lower Limb Surgery
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作者 LIU Huan 《外文科技期刊数据库(文摘版)医药卫生》 2021年第1期122-124,共5页
Objective: to study and analyze the clinical effect of ropivacaine combined with spinal epidural anesthesia in elderly patients undergoing lower limb surgery. Methods: the time range of this study was 2019.12-2020.12,... Objective: to study and analyze the clinical effect of ropivacaine combined with spinal epidural anesthesia in elderly patients undergoing lower limb surgery. Methods: the time range of this study was 2019.12-2020.12, and the subjects were 92 elderly patients who were admitted to hospital for lower limb surgery during this period. Patients were randomly assigned to the control group and the study group on average, the former was given bupivacaine and the latter was given ropivacaine, and the effects of application were compared. Results: the onset time of sensory block, the recovery time of exercise and the incidence of adverse reactions in the study group were lower than those in the control group, P < 0.05, which was statistically significant. There was no significant difference in the onset time of motion block arrest between the two groups (P > 0.05). Conclusion: the use of ropivacaine combined with spinal epidural anesthesia can bring positive anesthesia effect in the lower limb surgery of elderly patients, its application effect is outstanding, should be vigorously promoted. 展开更多
关键词 elderly patients lower limb surgery ropivacaINE combined lumbar epidural anesthesia with ropivaca
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重比重、等比重和轻比重罗哌卡因在剖宫产手术麻醉应用中的效果 被引量:4
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作者 王迢 王乐 +3 位作者 魏磊 朱玉民 潘建华 瞿慧 《中国医药科学》 2023年第9期155-158,共4页
目的探究与分析重比重、等比重和轻比重罗哌卡因在剖宫产手术麻醉应用中的效果。方法选取苏州市立医院自2020年2月至2022年2月收治的剖宫产产妇90例,采取随机数表法分为重比重组、等比重组、轻比重组,每组各30例,重比重组采用0.5%的盐... 目的探究与分析重比重、等比重和轻比重罗哌卡因在剖宫产手术麻醉应用中的效果。方法选取苏州市立医院自2020年2月至2022年2月收治的剖宫产产妇90例,采取随机数表法分为重比重组、等比重组、轻比重组,每组各30例,重比重组采用0.5%的盐酸罗哌卡因注射液2 ml+10%葡萄糖1 ml,等比重组采用0.75%的盐酸罗哌卡因注射液2 ml+脑脊液1 ml稀释,轻比重组采用0.75%的盐酸罗哌卡因注射液2 ml+注射用水1 ml,比较三组剖宫产产妇的麻醉效果、麻醉药物起效时间、基础指标变化,同时观察三组剖宫产产妇的不良反应。结果等比重组及重比重组的麻醉总有效率高于轻比重组,差异有统计学意义(P<0.05)。等比重组麻醉阻滞起效时间、运动阻滞起效时间长于轻比重组,短于重比重组,感觉阻滞恢复时间、运动阻滞恢复时间明显短于重比重组,长于轻比重组,差异有统计学意义(P<0.05)。三组麻醉后10 min与麻醉前比较收缩压(SBP)、舒张压(DBP)均较低,心率(HR)升高,等比重组与重比重组比较SBP、DBP较高,等比重组与轻比重组比较SBP、DBP较低,差异有统计学意义(P<0.05)。重比重组分别与等比重组、轻比重组比较,总不良反应发生率较高,差异有统计学意义(P<0.05)。结论等比重罗哌卡因在剖宫产手术麻醉中的应用可获得较好的麻醉效果,缩短了麻醉药物的起效时间,患者的各项生理指标也较为平稳,同时不良反应较少,整体安全性较高。 展开更多
关键词 重比重 等比重 轻比重 罗哌卡因 剖宫产手术 麻醉
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