蛛网膜下腔注射利多卡因和舒芬太尼对肛肠术后恢复的影响

 目的 比较联合应用小剂量利多卡因和舒芬太尼同单纯应用利多卡因进行腰麻对门诊患者肛肠手术后恢复时间的影响.方法 选择49例ASAⅠ～Ⅲ级,20～69岁,准备在腰麻下行门诊肛肠手术的患者,随机分为两组:A组(n=28)蛛网膜下腔给予小剂量利多卡因15 mg,舒芬太尼10 μg;B组(n=21)单纯给予利多卡因50 mg.记录恢复运动的时间,瘙痒发生率和其他变化.结果 蛛网膜下腔联合注射小剂量利多卡因和舒芬太尼明显较单纯注射利多卡因恢复运动快(P<0.01).A组50%出现瘙痒.结论 蛛网膜下腔联合注射利多卡因和舒芬太尼比单纯注射利多卡因的运动恢复时间明显缩短.除了瘙痒不良反应外,A组麻醉效果较好.

Intrathecal lidocaine and sufentanil shorten postoperative recovery after rectal surgery

Objective To compare the recovery time from spinal anesthesia with low-dose intrathecal （IT） lidocaine and sufentanil to that with IT lidocaine alone.Methods Forty-nine patients （ASA Ⅰ-Ⅲ, age 20 - 69 yr） underwent spinal anesthesia for rectal surgery. The patients were randomized into two groups. One group （ n = 28） received low - dose IT lidocaine （ 15 mg） and sufentanil （ 10 ttg） and the other group （ n = 21 ） received IT lidocaine （50 mg） alone. The time to ambulation, the incidence of pruritus, and other variables were recorded. A P 〈 0.05 was considen statistically significant. Results A significantly shorter ambulation time after IT low-dose lidocaine and sufentanil vs IT lidocaine alone （ P 〈 0.01） was shown.Patients who received IT lidocaine and sufentanil recovered faster. Fifty percent of the patients who received IT sufentanil suffered from pruritus. Conclusions IT lidocaine and sufentanil result in a shorter time to ambulation compared with IT lidocainc alone and provided excellent anesthesia despite its disadvantaae of pruritus.