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罗哌卡因腰麻在老年病人前列腺汽化电切手术中的应用

Application of spinal anesthesia with ropivacaine hydrochloride in elderly patients with translethral eloctmvaporization of prostate

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【作者】 王奋强刘馨

【Author】 WANG Fen-qiang LIU Xin Department of Anesthesiology,the Second People’s Hospital of Lanzhou City,730046 Lanzhou,China

【机构】 兰州市第二人民医院麻醉科

【摘要】 目的:观察罗哌卡因(ropivacaine hydrochloride)用于老年病人腰麻中的安全性和可行性。方法:选择行前列腺汽化电切手术的病人240例,蛛网膜下腔麻醉,局麻药为罗哌卡因。结果:病人生命体征平稳麻醉效果满意,最高阻滞平面T8-10,麻醉效果满意,病人生命体征平稳肌松良好。结论:本研究显示0.75%罗哌卡(ropivacaine hydrochloride)因虽然浓度较高,但容量不大,最大量为140mg能在血流动力学稳定的前提下满足前列腺汽化电切手术的麻醉要求。

【Abstract】 Objective:To observe the safety and feasibility of ropivacaine hydrochloride in spinal anesthesia for elderly patients.Methods:240 elderly patients with translethral eloctmvaporization of prostate were performed subarachnoid anesthesia with ropivacaine hydrochloride(batch number:H20100105,AstraZeneca).Results:Patients with ropivacaine hydrochloride had stable vital signs,good muscle relaxation and satisfactory anesthesia in which the highest block level was T8-10.Conclusion:The maximum amount of 0.75% ropivacaine hydrochloride is 140mg which is higher concentration but small capacity.Ropivacaine hydrochloride is a safe anesthetic of spinal anesthesia with small dosages,more reliable in hemodynamically stable for elderly patients with translethral eloctmvaporization of prostate.

  • 【文献出处】 甘肃医药 ,Gansu Medical Journal , 编辑部邮箱 ,2012年02期
  • 【分类号】R614
  • 【下载频次】16
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