摘要
目的：分析罗哌卡因用于硬膜外麻醉及术后镇痛的临床效果。方法：将2013年5月至2014年5月收治的120例手术患者随机分为 A 组和 B 组，各60例，两组患者均给予硬膜外麻醉，A 组配方：罗哌卡因、芬太尼、咪达唑仑及生理盐水，B 组配方：含 K ＋罗哌卡因、芬太尼、咪达唑仑、氯化钾及生理盐水。对两组患者术后12h 及24hVAS 评分及并发症发生率进行比较和分析。结果：A 组患者术后12h 及24hVAS 评分明显高于 B 组，差异具有统计学意义（P ＜0．05），两组患者并发症发生率无统计学意义（P ＞0．05）。结论：在罗哌卡因中加入生理浓度的钾离子可有效增强镇痛效果，有利于罗哌卡因最低有效浓度的降低，且无明显不良反应，患者耐受度较高，值得临床推广。
Abstract
Objective:To analyze the ropivacaine for epidural anesthesia and postoperative analgesia clinical results.Methods:from May 2013 to May 2014 were treated 120 cases of sur-gery were randomly divided into group A and group B,60 cases,patients were given epidural anesthesia,A group of formula:ropivacaine,fentanyl,midazolam and saline,group B formula:with K +ropivacaine,fentanyl,midazolam,potassium and saline.Two groups of patients after 12h and 24hVAS score and complication rates were compared and analyzed.Results:The pa-tients in group A and 24hVAS score was significantly higher than 12h group B,the dif erence was statistical y significant (P <0.05),the incidence of complications in the two groups were not statistical y significant (P >0.05).Conclusion:adding physiological concentrations of ropivacaine potassium ions can ef ectively enhance the analgesic ef ect,help to reduce the minimum ef ec-tive concentration of ropivacaine,and no significant adverse reactions in patients with a high degree of tolerance,worthy of promotion.
NETL
NSTL
维普
万方数据