【摘要】 目的探讨盐酸罗哌卡因腰硬联合麻醉用于老年前列腺电汽化手术的可行性、有效性和安全性。方法择期老年前列腺电切术80例,随机分为罗哌卡因(R)组和布比卡因(B)组各40例。R组蛛网膜下腔注入0.5%盐酸罗哌卡因3 ml,B组注入0.5%布比卡因3 ml,视麻醉平面消退情况R组硬膜外腔给予0.75%盐酸罗哌卡因,B组注射0.75%布比卡因,观察感觉和运动阻滞的起效、维持时间和阻滞程度及麻醉不良反应。结果两组麻后感觉阻滞起效时间差异无统计学意义(P>0.05)。R组较B组血压稳定、达到运动阻滞慢,感觉和运动阻滞恢复快(P<0.05),并且麻醉不良反应低(P<0.05)。结论盐酸罗哌卡因腰硬联合麻醉用于老年前列腺电切术麻醉效果确切,且其运动阻滞维持时间较布比卡因短,不良反应低,有利于术后的恢复,安全可行。更多还原

【Abstract】 Objective To explore the feasibility,effectiveness and security of combined spinal epidural anesthesia(CSEA) with low-dose ropivacaine for senior transurethral resection of the prostate(TURP).Methods Eighty patients were randomly divided into R group and B group(40 cases in each group).R group received subarachnoid injection of 3 ml ropivacaine(0.5%),while group B received 3 ml of Bupivacaine(0.5%).According to the situation of the level of anesthesia regression,0.75% of ropivacaine was injected into epidural cavity in R group and 0.75% bupivacaine into B group.The block of feeling and movement,maintain time and block degree with anesthesia adverse reaction were observed.Results After the anesthesia,there was no significant difference in the onset time of block between the two groups(P>0.05).In R group,the blood pressure was stable,the time to achieve block movement was slow,the time to recover feeling and block movement was rapid(P<0.05).Conclusion Ropivacaine CSEA for TURP operation has a good effect,and time of block movement is shorter than Bupivacaine,the adverse reaction is fewer and postoperative recovery is quick.更多还原