韦小友

[摘要] 目的 探讨甲磺酸罗哌卡因复合利多卡因在老年硬膜外麻醉中的临床效果。 方法 选择本院2013年6月～2014年1月收治接受硬膜外麻醉100例老年患者，采用随机数字表法将其分为A组与B组，每组各50例。A组采用0.75%盐酸布比卡因复合利多卡因硬膜外麻醉，B组采用0.894%甲磺酸罗哌卡因复合利多卡因硬膜外麻醉。比较患者的各项临床指标。 结果 相对于A组患者，B组患者的临床血流动力学指标更具有优越性，差异有统计学意义（P＜0.05）。 结论 甲磺酸罗哌卡因复合利多卡因在老年硬膜外麻醉中临床麻醉效果显著，具有安全、高效等优点，值得临床推广。

[关键词] 硬膜外麻醉；老年；甲磺酸罗哌卡因；利多卡因

[中图分类号] R614.4+2[文献标识码] B[文章编号] 1674-4721（2014）04（c）-0175-03

Application of ropivacaine mesylate joint lidocaine in epidural anesthesia in elderly

WEI Xiao-you

Anesthesiology Department,People′s Hospital of Zongyang County in Anhui Province,Zongyang 246700,China

[Abstract] Objective To explore the clinical effect of ropivacaine mesylate joint lidocaine in epidural anesthesia in elderly. Methods 100 patients who underwent epidural anesthesia in elderly were selected in our hospital from June 2013 to January 2014,they were randomly divided into group A and group B by way of a random number table method,50 cases in each group,group A of patients used 0.75% bupivacaine hydrochloride in epidural anesthesia compound lidocaine,group B patients used epidural anesthesia 0.894% ropivacaine mesylate lidocaine.The clinical indicators of the two groups were compared. Results Relatived to group A of patients,group B patients with clinical hemodynamic index had more significant advantages,the difference was statistically significant (P<0.05). Conclusion The clinical effect of ropivacaine mesylate joint lidocaine in epidural anesthesia in elderly is significant,has the advantages of safety,high efficiency,it is worthiy of clinical promotion.

[Key words] Epidural anesthesia;Elderly;Ropivacaine mesylate;Lidocaine

随着年龄的增加，老年患者各个系统的生理功能开始出现衰退，外科手术对老年患者的刺激较大，因此麻醉程度对老年患者外科手术效果有重要意义，而老年人对麻醉手术的耐受有所衰退，所以麻醉方法是否合适、麻醉药物的剂量要增加还是减少都需要有所考虑，需要加强老年硬膜外麻醉患者围术期的管理力度，确保其围术期生命体征保持平稳，这是保障手术顺利完成的重要步骤[1]。本研究对本院收治的100例行硬膜外麻醉老年患者的临床资料进行回顾性分析，以探讨甲磺酸罗哌卡因复合利多卡因在老年硬膜外麻醉中的临床效果。

1 资料与方法

1.1 一般资料

选择本院2013年6月～2014年1月收治的接受硬膜外麻醉外科手术且年龄＞60岁的老年患者共100例，其中男性65例，女性35例；……