【摘 要】
:
目的观察0.4%等比液罗哌卡因腰硬联合阻滞麻醉(CSEA)在老年人下肢骨折手术中的应用效果和安全性。方法 160例下肢骨折老年患者,按随机数字表法分为B组和D组,手术均取患肢在上侧
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目的观察0.4%等比液罗哌卡因腰硬联合阻滞麻醉(CSEA)在老年人下肢骨折手术中的应用效果和安全性。方法 160例下肢骨折老年患者,按随机数字表法分为B组和D组,手术均取患肢在上侧卧位,采用驼人AS-E/S型16 g穿刺针,穿刺点L3~4,B组注入0.4%等比液罗哌卡因1.5~2.5 ml(含罗哌卡因6~10 mg),D组注入0.4%等比液布比卡因1.5~2.5 ml(含布比卡因6~10 mg),硬脊膜外腔向头置管3 cm。结果 B组感觉和运动阻滞起效时间、达到最高阻滞平面时间均长于D组,但镇痛时间、最大
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