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小剂量低浓度盐酸氯普鲁卡因用于老年人骶管麻醉的效果观察
引用本文:宋希斌,李成刚,姜万维.小剂量低浓度盐酸氯普鲁卡因用于老年人骶管麻醉的效果观察[J].中国肛肠病杂志,2009(8):52-53.
作者姓名:宋希斌  李成刚  姜万维
作者单位:大连大学附属新华医院麻醉科,辽宁大连116021
摘    要:为观察低浓度国产盐酸氯普鲁卡因用于老年人骶管麻醉的临床效果,我们将65~80岁老年肛肠病手术患者60例,随机分为观察组(30例)和对照组(30例),观察组用1.5%国产盐酸氯普鲁卡因20ml麻醉,对照组用1.0%盐酸利多卡因20ml麻醉。结果显示,观察组麻醉起效时间和痛觉消失时间快于对照组(P〈0.05);痛觉恢复时间观察组快于对照组(P〈0.05)。两组患者呼吸循环稳定,无不良反应。结果表明,小剂量低浓度国产盐酸氯普鲁卡因用于老年人骶管麻醉安全,且起效快。

关 键 词:盐酸氯普鲁卡因  骶管麻醉  老年人  麻醉效果

Observation on the Anesthetic Results of Small-Dosage and Low-concentration Chloroprocaine Hydrochloride Used in Senile Sacral Anesthesia
Authors:Song Xibin  Li Chenggang  Jiang Wanwei
Institution:(Dept. of Anesthesia, Xinhua Hospital Affiliated to Dalian University ,Dalian,Liaoning 116021 )
Abstract:For the objective of observing the clinical efficacy of small-dosage,low-concentration chloroprocaine hydrochloride used in senile sacral anesthesia,the sixty senile patients (65-80 years old) who would undergo anorectal operations were randomized into two groups. Thirty cases underwent sacral anesthesia with China made cbloroprocaine hydrochloride(1.5% ,20ml) ,as the study group ; while the other 30 underwent lidocaine bydrochloride(1.0% ,20ml),as the control group. As results,anesthesia was quicker in efficacy initiation and the pain sensation disappearance time was also faster in the study group than that in the control group( P 〈0. 05) ;while pain recovery time was also quicker in the control group than in the study group( P 〈0.05);The respiration and circulation were stabilization and no adverse reaction was noticed during anesthesia in two groups. It is revealed that small-dosage and low-concentration chloroprocaine hydrochloride(China made) is safe and quicker in initiation of anesthetic efficacy.
Keywords:Chloroprocaine hydrochloride  Sacral anesthesia  Senile  Anesthetic efficacy
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