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时间:2020-05-31
《小容量高浓度罗哌卡因硬膜外阻滞复合全麻用于老年患者腹部外科手术.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、《中外医学研究》第12卷第7期(总第231期)2o14年3月论著Lunzhu小容量高浓度罗哌卡因硬膜外阻滞复合全麻用于老年患者腹部外科手术+-i-y_.东①杨江梅①周润泉①徐芳华①【摘要】目的:探讨以小容量高浓度罗哌卡因行硬膜外阻滞麻醉与全麻复合用于老年病患实施腹部外科手术的效果。方法:选择44例逆行腹部外科手术治疗的老年病患,以硬膜外阻滞与全麻方案实施麻醉,随机分两组,I组22例为罗哌卡因小容量高浓度,Ⅱ组22例为小容量常规浓度,对比两组病患麻醉效果。结果:两组硬膜外穿刺点比较,差异无统计学意义(P>O.O5);关腹时,I组中1例(4.55%)患者追加了肌肉
2、松弛药物,Ⅱ组中10例(45.45%),两组比较差异有统计学意义(P3、uraiAnesthesiaforAbdominalSurgeryinElderlyPatients/FUWei-dong.YANGJiang-mei。ZHOURun-quan,eta1.//ChineseandForeignMedicalResearch,2014,12(7):3-5【Abstract】Objective:Toexploretheeffectofsmall—capacityhighconcentrationsofropivacaineepiduralanesthesiacombinedwithgeneralanesthesiaforabdom4、inalsurgeryinelderlypatients.Method:Selected44casesofretrogradeabdominalsurgeryinelderlypatients,withepiduralblockanesthesiaandgeneralanesthesiascheme,theywererandomlydividedintotwogroups,groupI22caseswithsmall-capacityhighconcentrations,groupII22casesofsmall-capacityconventionalcon5、centration,comparedanestheticeffectoftwogroups.Result:Twoepiduralpuncturepoint,thediferencewasnotsignificant(P>0.o5);Whentheabdomenwasclosed,groupIhad1case(4.55%)wereaddedmusclerelaxantdrugs,groupⅡhad10cases(45.45%),thecomparisonoftwogroupswasnostatisticallysignificantdifference(P6、.O5);Afteroperation,therespiration,extubationandrecoverytimeofgroup1werelessthangroupII(P7、eforepiduralanesthesia,whilecarryingoutgeneralanesthesia,whichcanefectivelyacceleratepostoperativerecovery,toensurepatientsafety,isworthpromoting.【Keywords】Elderlypatients;Abdominalsurgicaloperation;Ropivacaine;GeneralanesthesiaFirst-author’Saddress:ZhuzhouCentralHospita1.Zhuzhou4128、000.China临床研究证实,硬膜外
3、uraiAnesthesiaforAbdominalSurgeryinElderlyPatients/FUWei-dong.YANGJiang-mei。ZHOURun-quan,eta1.//ChineseandForeignMedicalResearch,2014,12(7):3-5【Abstract】Objective:Toexploretheeffectofsmall—capacityhighconcentrationsofropivacaineepiduralanesthesiacombinedwithgeneralanesthesiaforabdom
4、inalsurgeryinelderlypatients.Method:Selected44casesofretrogradeabdominalsurgeryinelderlypatients,withepiduralblockanesthesiaandgeneralanesthesiascheme,theywererandomlydividedintotwogroups,groupI22caseswithsmall-capacityhighconcentrations,groupII22casesofsmall-capacityconventionalcon
5、centration,comparedanestheticeffectoftwogroups.Result:Twoepiduralpuncturepoint,thediferencewasnotsignificant(P>0.o5);Whentheabdomenwasclosed,groupIhad1case(4.55%)wereaddedmusclerelaxantdrugs,groupⅡhad10cases(45.45%),thecomparisonoftwogroupswasnostatisticallysignificantdifference(P6、.O5);Afteroperation,therespiration,extubationandrecoverytimeofgroup1werelessthangroupII(P7、eforepiduralanesthesia,whilecarryingoutgeneralanesthesia,whichcanefectivelyacceleratepostoperativerecovery,toensurepatientsafety,isworthpromoting.【Keywords】Elderlypatients;Abdominalsurgicaloperation;Ropivacaine;GeneralanesthesiaFirst-author’Saddress:ZhuzhouCentralHospita1.Zhuzhou4128、000.China临床研究证实,硬膜外
6、.O5);Afteroperation,therespiration,extubationandrecoverytimeofgroup1werelessthangroupII(P7、eforepiduralanesthesia,whilecarryingoutgeneralanesthesia,whichcanefectivelyacceleratepostoperativerecovery,toensurepatientsafety,isworthpromoting.【Keywords】Elderlypatients;Abdominalsurgicaloperation;Ropivacaine;GeneralanesthesiaFirst-author’Saddress:ZhuzhouCentralHospita1.Zhuzhou4128、000.China临床研究证实,硬膜外
7、eforepiduralanesthesia,whilecarryingoutgeneralanesthesia,whichcanefectivelyacceleratepostoperativerecovery,toensurepatientsafety,isworthpromoting.【Keywords】Elderlypatients;Abdominalsurgicaloperation;Ropivacaine;GeneralanesthesiaFirst-author’Saddress:ZhuzhouCentralHospita1.Zhuzhou412
8、000.China临床研究证实,硬膜外
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