右美托咪定联合罗哌卡因硬膜外麻醉对老年下肢骨折患者术后的影响
Effect of Dexmedetomidine Combined with Ropivacaine Epidural Anesthesia on Elderly Patients with Lower Extremity Fracture after Operation
李翠萍1
作者信息
- 1. 东莞市厚街医院麻醉科,广东 东莞 523000
- 折叠
摘要
目的:探讨右美托咪定联合罗哌卡因硬膜外麻醉对老年下肢骨折患者术后的影响.方法:选取2019 年1 月—2020年 6月我院收治的 96例老年下肢骨折患者为研究对象,按随机数字表法将其分为对照组与观察组,各 48例.对照组采用舒芬太尼联合罗哌卡因,观察组采用右美托咪定联合罗哌卡因.比较2组疼痛程度、镇静效果、不良反应发生情况、麻醉效果、应激反应指标、睡眠质量、术后谵妄发病情况.结果:2组视觉模拟评分比较,差异无统计学意义(P>0.05).麻醉后,观察组镇静评分高于对照组,差异有统计学意义(P<0.05).观察组不良反应总发生率为 4.16%,低于对照组的25.00%,差异有统计学意义(P<0.05).观察组麻醉效果的各个维度指标均优于对照组,组间差异有统计学意义(P<0.05).观察组应激反应的各个维度指标均优于对照组,组间差异有统计学意义(P<0.05).观察组睡眠质量的各个维度指标均优于对照组,组间差异有统计学意义(P<0.05).观察组术后谵妄率为 4.16%,低于对照组的 16.67%,差异有统计学意义(P<0.05).结论:右美托咪定联合罗哌卡因硬膜外麻醉应用于老年下肢骨折患者,镇静效果较为理想,且不良反应发生率较低.
Abstract
Objective:To investigate the effect of dexmedetomidine combined with ropivacaine epidural anesthesia on elderly patients with lower extremity fracture after operation.Methods:96 elderly patients with lower limb fracture admitted to our hospital from January 2019 to June 2020 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 48 cases in each group.The control group received Sufentanil combined with ropivacaine,and the observation group received dexmedetomidine combined with ropivacaine.The pain degree,sedation effect,occurrence of adverse reactions,anesthetic effect,stress response index,sleep quality and postoperative delirium were compared between the two groups.Results:There was no significant difference in visual simulation scores between the two groups(P>0.05).After anesthesia,the sedation score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse reactions in the observation group was 4.16%,which was lower than 25.00%in the control group,and the difference was statistically significant(P<0.05).Each dimension index of anesthesia effect in the observation group was better than that in the control group,and the differences between the two groups were statistically significant(P<0.05).All dimensions of stress response in the observation group were better than those in the control group,and the differences between the two groups were statistically significant(P<0.05).All dimensions of sleep quality in the observation group were better than those in the control group,and the differences between the groups were statistically significant(P<0.05).The postoperative delirium rate of the observation group was 4.16%,which was lower than 16.67%of the control group,and the differences were statistically significant(P<0.05).Conclusion:Dexmedetomidine combined with ropivacaine for epidural anesthesia in elderly patients with lower limb fractures has two better sedative effect and two lower incidence of adverse reactions.
关键词
老年下肢骨折/右美托咪定/罗哌卡因/舒芬太尼/硬膜外麻醉Key words
Fracture of lower extremity in old age/Dexmedetomidine/Ropivacaine/Sufentanil/Epidural anesthesia引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据