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目的探讨甲磺酸罗哌卡因硬膜外麻醉用于合并心血管疾病老年患者阴式子宫切除术的效果。方法 120例合并心血管疾病的子宫脱垂患者采用甲磺酸罗哌卡因硬膜外麻醉,术中连续监测心电图、血压、心率及SpO2,分析给药前后SBP、DBP、HR、SpO2的变化。结果 本组所有患者麻醉操作顺利,麻醉满意率为100%,给药前后的SBP、DBP、HR、SpO2无明显变化,而且对呼吸影响轻微,全组无呼吸抑制发生。结论甲磺酸罗哌卡因在老年阴式子宫切除术的应用效果好,对呼吸循环影响较小,该麻醉方法可安全用于合并心血管疾病的老年人。
Objective To investigate the effect of epidural anesthesia with ropivacaine mesylate on vaginal hysterectomy in elderly patients with cardiovascular diseases. Methods 120 cases of uterine prolapse in patients with cardiovascular diseases were treated with epidural anesthesia with ropivacaine mesylate. The electrocardiogram, blood pressure, heart rate and SpO2 were monitored during the operation. The changes of SBP, DBP, HR and SpO2 . Results All the patients in this study were anesthetized successfully and the satisfaction rate of anesthesia was 100%. There was no obvious change of SBP, DBP, HR and SpO2 before and after the administration, but little effect on respiration. No respiratory depression occurred in the whole group. Conclusion Ropivacaine mesylate is effective in elderly patients with vaginal hysterectomy and has little effect on respiratory circulation. This anesthetic method can be safely used in the elderly with cardiovascular diseases.