0.5% ropivacaine combined spinal-epidural anesthesia in the clinical application of anorectal surgery


Keywords:: Ropivacaine; bupivacaine; spinal anesthesia - epidural anesthesia Keywords:: R614 Abstract: Objective To observe the 0.
5% ropivacaine in combined spinal-epidural anesthesia in anorectal surgery and postoperative application of recovery. Method of randomly selected elective surgery in patients with anorectal line, 48 cases were divided into two groups, ropivacaine (RP) group and the bupivacaine (group), combined spinal and epidural anesthesia, subarachnoid administration. RP Group Intrathecal 0.5% ropivacaine 2ml, BP group injected 0.5% bupivacaine 2ml. Results of the sensory block and the RP group of motor block onset time of BP group were slower than the maximum sensory block plane with the maximum degree of motor block were lower than the BP group, the duration of sensory block was no difference with the BP group, sports block duration is shorter than the BP Group. Two groups were not in the epidural space in patients with additional drugs, are safe and satisfactory completion of surgery. Conclusions 0.5% ropivacaine in combined spinal and epidural anesthesia is a safe and reliable Anorectal surgery anesthesia options. The clinical use of 0.5% ropivacaine of combined spinal epidural anaesthesia in the anus intestine disease operation Abstract: Aim To investigate the clinical use of 0.5% ropivacaine of combined epidural anaesthesia in the anus intestine disease operation.Methods 48 patients who had anus intestine disease were randomly assigned to 2 groups (24 patients in every group): ropivacaine (RP) group and bupivacaine (BP) group, using combined epidural anaesthesia, ropivacaine and bupivacaine were injected into subarachnoind.Using 0.5% ropivacaine 2ml spinal anaesthesia in RP group and 0.5 % bupivacaine 2ml in BP group.Results The oneset time of sensory and motor blocks in RP group were longer than that of BP group, the height of sensory block and the degree of motor block in RP group were lower than that of BP group, the duration of motor block in RP was shorter than that of BP, the duration of sensory block of the two groups were not siginificantly different.All patients were not used epidural anaesthesia additionally and completed surgery safely and satisfactorily.Conclusion 0.5% ropivacaine of combined epidural anaesthesia is the safe choice in the anus intestine disease operation Keywords:: ropivacaine; bupivacaine; combined spinal epidural anaesthesia use in this experiment used 0.5% ropivacaine in combined spinal-epidural anesthesia, to observe the right degree of perfection block anal perineal area, flat proliferation, the largest block plane, the largest block of time, compared with bupivacaine for clinical anesthesia anorectal surgery and provide a theoretical basis for selection of drugs. 1. Clinical data 1.1 General Information anorectal surgery were randomly selected 48 patients, aged 20 to 70 years old, ASA Ⅰ ~ Ⅱ, excluding body weight <40Kg,> 100Kg person. Patients were randomly divided into ropivacaine group (RP), bupivacaine group (BP), each group of 24 cases. RP Group: 10g / L ropivacaine 1ml 9g/LNaCl1ml dubbed in 0.5% ropivacaine hypobaric solution; BP Group: 0.5% bupivacaine solution 2ml. 1.2 the establishment of intravenous anesthesia in patients with burglary, Lin formats fluid infusion channel, monitoring blood pressure, electrocardiogram, heart rate, oxygen saturation, take the left side lying position, lumbar puncture 3-4 gap, cerebrospinal fluid outflow in order to 0.1ml / s velocity difference bolus of ropivacaine 0.5% solution or 0.5% bupivacaine solution 2ml. After the epidural catheter up into 3cm. Observe and record vital signs and anesthetic plane. 1.3 Monitoring indicators for testing acupuncture felt block plane, modified Bromage France [1] Assessment of motor block. 30min intervals of 2.5min measured within 1 times, at intervals of 15min after the determination of a time, until the full restoration of sensory and motor. Respectively, recorded the onset time of sensory block, highest sensory block plane, the duration of sensory block, motor block onset time, maximum degree of motor block (Bromage score), motor block duration. 1.4 Statistical analysis of data with the mean

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