盐酸罗派卡因腰硬联合麻醉用于老年骨科下肢骨折手术的临床观察

摘要

目的评价盐酸罗派卡因腰硬联合麻醉用于老年骨科下肢骨折手术的临床观察。方法选择需行下肢骨折手术老年患者60例，随机分成第一组（盐酸罗哌卡因腰硬联合）和第二组（盐酸布比卡因腰硬联合），每组各30例。记录术中SBP、HR、和SPO2、感觉神经阻滞起效、感觉平面固定和维持时间、下肢运动神经阻滞程度，了解患者运动阻滞起效所需时间、最大运动阻滞的时间、患者运动恢复时间以及并发症发生等。结果第一组患者的运动阻滞时间、运动恢复时间均短于第二组，第一组患者运动阻滞起效时间长于第二组，两组数据对比，差异具有统计学意义（P＜0.05）。结论盐酸罗哌卡因腰-硬联合麻醉对行骨科下肢骨折手术的老年患者安全、有效。%Objective To evaluate and to observe hydrochloride ropivacaine combined spinal epidural anesthesia for elderly lower limb fracture surgery in Department of orthopedics.Methods 60 cases of elderly patients with lower limb fracture were selected and were randomly divided into ifrst group (ropivacaine hydrochloride combined spinal epidural) and second group (bupivacaine hydrochloride combined spinal epidural), 30 cases in each group. SBP, HR, and SPO2 were recorded during the operation, sensory nerve block, sensory plane fixation and maintenance time, lower limb motor nerve block, to know the time required for onset of motor block, maximum motor block time, patient recovery time and complications.Results In the first group, motor block time, motor recovery time was shorter than that of the second group, the onset time of motor block in the first group was longer than that in the second groups, two groups of data comparison, the difference was statistically signiifcant (P<0.05).ConclusionRopivacaine combined spinal epidural anesthesia in elderly patients is safe and effective for lower limb fracture surgery in Department of orthopedics.