J4 ›› 2010, Vol. 9 ›› Issue (2): 72-73.

• 临床医学 • 上一篇    下一篇

甲磺酸罗哌卡因复合氯普鲁卡因在骶管麻醉的临床观察

  

  1. 昭通市中医医院麻醉科,云南昭通 657000
  • 收稿日期:2009-12-07 出版日期:2010-02-15 发布日期:2010-02-15
  • 作者简介:铁发勇,主治医师,主要从事医学麻醉研究.

Climical Observation of the Ropivacaine and Chloroprocaine Mixer Inanesthetic Toxiciey

  1. Department of Anesthesin,Zhaotong hospital of TCM,Zhaotong, Yunnan 657000,China
  • Received:2009-12-07 Online:2010-02-15 Published:2010-02-15

摘要:

目的:观察罗哌卡因复合氯普鲁卡因在骶管麻醉中的起效时间、麻醉完善时间及麻醉痛觉出现时间。方法:选择择期肛
门直肠手术患者180例,随机分为治疗组和对照组,治疗组用罗哌卡因复合氯普鲁卡因混合液20m蕴,对照组用布比卡因复合利多卡因混合液20m蕴,分别在注药后1,3,5,7,9,12,15min测定痛觉和运动消退情况。术后每隔15min评估痛觉及运动阻滞平面的恢复情况。结果:罗哌卡因复合氯普鲁卡因在骶管麻醉中具有麻醉起效快、运动恢复快、痛觉恢复慢及麻醉药毒性低的特点。结论:罗哌卡因复合氯普鲁卡因骶管麻醉可缩短手术等待时间,患者术后不愉快感及疼痛明显减轻,血压及心率基本稳定,无明显不良反应发生。

关键词: 罗哌卡因, 氯普氯卡因, 骶管麻醉

Abstract:

Objective:To observe the onset time of ropivacaine and chloroprocaine mixer,the time of achieving complete anesthetic effect and the occurrence time of anesthetic pain in the process of sacral anesthesia. Meothod:180 patients awaiting anorectal operation are divided to treatment group and control group. The former is given 20ml of ropivacaine and chloroprocaine mixer and 20ml of bupivacaine and lidocaine mixe to control group. The regression of sensation and motion is tested at 1,3,5,7,9,12,15 min after the injection respectively. The block plane regression of sensation and motion is tested every 15 min after the operation.Results:Ropivacaine and chloroprocaine mixer is found to be quicker in taking effect,lower in anesthetic toxicity,easier for the receiver to recover moving capacity and longer to regain pain after operation. Conclusion:Ropivacaine and chloroprocaine mixer
shortens the time of operation in anesthetic toxicity,inducing less discomfort and pain. Patients show stable respiration and circulation functions with no obvious unfavorable reactions afterwards.

Key words: ropivacaine, chloroprocaine, sacral anesthesia

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