盐酸氯普鲁卡因硬膜外麻醉在腹部吸脂手术中的应用(1)
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【摘要】 目的:观察国产盐酸氯普鲁卡因硬膜外麻醉用于腹部吸脂手术的麻醉效果。方法:选择60例ASA I～Ⅱ级腹部吸脂手术患者施行硬膜外麻醉,分为实验组和对照组,每组各30例。T10-11间隙行硬膜外穿刺,头侧置管3cm,分别给予2%盐酸氯普鲁卡因和2%盐酸利多卡因。观察麻醉起效时间、痛觉消失时间、运动阻滞时间、痛觉恢复时间、运动恢复时间以及不良反应,并记录麻醉前及麻醉后10 min、3 0 min、60 min的心率、血压、呼吸次数、脉搏氧饱和度,并进行组间比较。结果:两组阻滞效能相当,麻醉起效时间分别为4.3±1.1min和5.1±1.3min(P>0.05),痛觉消失时间分别为8.5±2.4min和13.0±2.3min(P<0.05),运动阻滞时间分别为16.9±3.4min和20.4±3.6min(P<0.05),痛觉恢复时间分别为73.5±9.1min和82.1±10.9min(P<0.05),运动恢复时间分别78.7±9.6min和98.4±11.4min(P<0.05)。实验组一旦痛觉恢复5分钟后痛觉即比对照组明显(P<0.05),运动也几乎同时恢复。结论:盐酸氯普鲁卡因硬膜外麻醉用于腹部吸脂手术,肌松满意,安全可靠,对患者生理影响较轻。
【关键词】 盐酸氯普鲁卡因;盐酸利多卡因;硬膜外麻醉;腹部吸脂手术
Application of chloroprocain for epidural anesthesia in the abdomen liposuction
Gao Lianbao,Zhang Xiaoxiao(Department of anesthesiology,Tianjin Gongan Hospital,Tianjin 300042,China)
【Abstract】 Objective:To observe the effectiveness of choroprocaine for epidural anesthesia in the abdomen liposuction.Methods: Sixty ASA I or II patients who ag ed 20～60yr undergoing abdomen liposuction were divided randomly into observer group(n=30) and control group(n=30).T10-11 interspace puncture, and the catheter was put upward 3cm, The observer group were injected with 2% choroprocaine,the control group were injected with 2% lidocaine. Observing the narcotic onset time,the pain free time,the motor block time,the pain recovery time, the motor recovery time and adverse reaction.Recording the HR,BP,RR,SpO2 at the interval time of 10,30, 60minutes after patients were anesthesia.Results:The anesthesia effectiveness of observer group is correspond to the control group, the narcotic onset time for the two group are 4.3±1.1 min and 5.1±1.3 min respectively(P>0.05),the pain free time are8.5±2.4 min and 13.0±2.3 min respectively(P<0.05),the motor block time are16.9±3.4 min and 20.4±3.6 min respectively(P<0.05),the pain recovery time are 73.5±9.1 min and 82.1±10.9 min respectively(P<0.05), the motor recovery time and adverse reaction are 78.7±9.6 min and 98.4±11.4 min respectively(P<0.05). Once the pain recovers ,the pain feeling of the observer group is more obvious(P<0 ......
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