Clinical Study of Light Weight Ropivacaine Combined with Intrathecal Fentanyl Injection for Thoracoscopic Surgery
轻比重罗哌卡因腰麻联合芬太尼鞘内注射用于椎间孔镜手术的临床研究

摘要

目的 探究应用轻比重罗哌卡因腰麻联合芬太尼鞘内注射的效果。方法 本医院所有患者均采用计算机随机分组，平均分为观察组（n=30）和对照组（n=30），前者应用轻比重罗哌卡因腰麻联合芬太尼鞘内注射，后者应用轻比重罗哌卡因腰麻。比较相关指标比较。结果 在麻醉后10 min及麻醉后30 min时的平均动脉压、心率变化中，对照组组内相比有明显差异（P＜0.05），而观察组组内变化不明显（P＞0.05），与对照组相比，观察组患者在麻醉后10 min及麻醉后30 min时平均动脉压、心率更低（P＜0.05）；在不良反应发生率控制方面，两组数据差异很大（P＜0.05）。结论 选择应用轻比重罗哌卡因腰麻联合芬太尼鞘内注射后，有助于稳定患者的术中生命体征，提升安全性。

Abstract

Objective: To investigate the effect of spinal anesthesia with light specific gravity ropivacaine combined with fentanyl intrathecal injection.
Methods: All patients in our hospital were randomly divided into observation group (n=30) and control group (n=30) by computer. The former was given light ropivacaine spinal anesthesia combined with fentanyl intrathecal injection, and the latter was given light ropivacaine spinal anesthesia. Compare relevant indicators.
Results: In the changes of mean arterial pressure and heart rate at 10 min and 30 min after anesthesia, there were significant differences in the control group (P<0.05), while there were no significant changes in the observation group (P>0.05). Compared with the control group, the patients in the observation group had lower mean arterial pressure and heart rate at 10 min and 30 min after anesthesia (P<0.05); In terms of adverse reaction rate control, the data of the two groups were very different (P<0.05).
Conclusion  : The application of light weight ropivacaine combined with fentanyl intrathecal injection in spinal anesthesia is helpful to stabilize the vital signs of patients during operation and improve the safety.