不同比重罗哌卡因单侧腰麻在下肢手术中的麻醉效果比较

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Abstract Objective To compare the anesthetic effect of Ropivacaine unilateral spinal anesthesia with different specific gravity in lower limb surgery anesthesia.Methods A total of 60 patients with unilateral spinal anesthesia in our hospital from January 2017 to March 2019 were selected as the study objects, they were divided into group A (30 cases) and group B (30 cases) according to the random number table method.Group A received 11.25 mg Ropivacaine(0.75%) and 2 ml sterile water for injection, group B received 11.25 mg Ropivacaine (0.75%) and 2 ml 10% glucose.The time of onset of sensory block, duration of sensory block, duration of motor block, duration of motor block, vital signs, anesthesia effect, recovery time of micturition and lower extremity movement and adverse reactions were compared between the two groups.Results There were no significant differences in the onset time, duration of sensory block, onset time of motor block and duration of motor block between the two groups (P＞0.05).There were no significant differences in systolic blood pressure, diastolic blood pressure and heart rate between the two groups (P＞0.05).There was no significant difference in anesthesia excellen and good rate between the two groups (P＞0.05).The recovery time of micturition and lower extremity movement in group A were shorter than those in group B, the differences were statistically significant (P＜0.05).There were no significant differences in the incidence of nausea, vomiting, shivering and headache between the two groups (P＞0.05).Conclusion The anesthesia effect of light specific gravity ropivacaine in the operation of lower limbs is similar to that of heavy specific gravity ropivacaine, but light specific gravity ropivacaine can shorten the recovery time of urination and movement of lower limbs, and does not increase the adverse reactions of patients, so it can be used according to the patients' clinical conditions.

Key words： Lower limb surgery Anesthesia Bupivacaine Urination functions Exercise recovery

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SONG Qiang. Comparison the anesthesia effect of Ropivacaine unilateral spinal anesthesia with different specific gravity in lower limb surgery anesthesia[J]. 中国当代医药, 2020, 27(3): 135-137转141.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I3/135

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