小剂量罗哌卡因联合舒芬太尼对混合痔手术患者麻醉起效时间及术后直肠牵拉反射率的影响
The effect of low-dose ropivacaine combined with sufentanil on the onset time of anesthesia and postoperative rectal traction reflectance in patients undergoing mixed hemorrhoid surgery
吴会红 1李梓涵 1罗松 1张威村1
作者信息
- 1. 中国人民解放军南部战区总医院麻醉科 广州 510010
- 折叠
摘要
目的 探究小剂量罗哌卡因联合舒芬太尼对混合痔手术患者麻醉起效时间及术后直肠牵拉反射率的影响.方法 选择2020年1月至2021年6月中国人民解放军南部战区总医院收治的96例混合痔手术患者,利用随机数字表法分为对照组与观察组,每组48例.对照组采用小剂量罗哌卡因进行麻醉;观察组采用小剂量罗哌卡因联合舒芬太尼进行麻醉.比较两组患者的麻醉效果、血流动力学变化、疼痛评分、出血评分、术毕肛门收缩恢复率、直肠牵拉反射率及不良反应发生率.结果 与对照组相比,观察组麻醉起效时间更短(P＜0.05),麻醉维持时间更长(P＜0.05).术前,两组混合痔患者心率、平均动脉压差异均无统计学意义(均P＞0.05);术后,两组患者心率均升高,平均动脉压均降低,且对照组变化更明显(均P＜0.05).术前,两组混合痔手术患者的视觉模拟量表(VAS)评分、出血评分差异无统计学意义(均P＞0.05);术后1 d,两组患者的VAS评分、出血评分均明显降低(均P＜0.05),且观察组降低更为明显(均P＜0.05).观察组术毕肛门收缩恢复率高于对照组(P＜0.05),直肠牵拉反射率低于对照组(P＜0.05).观察组不良反应总发生率显著低于对照组(X2=4.667,P＜0.05).结论 小剂量罗哌卡因联合舒芬太尼用于混合痔手术患者的麻醉效果确切,可改善患者麻醉起效时间及术后直肠牵拉反射率,减轻患者疼痛,安全性高.
Abstract
Objective To investigate the effects of low-dose ropivacaine combined with sufentanil on the onset time of anesthesia and postoperative rectal traction reflectance in patients undergoing mixed hemorrhoid surgery.Methods A total of 96 patients who underwent mixed hemorrhoid surgery at the General Hospital of the Southern Theater Command of the Chinese People's Liberation Army from January 2020 to June 2021 were selected.They were randomly divided into a control group and an observation group using a random number table method,with 48 cases in each group.The control group was anesthetized with low-dose ropivacaine;The observation group was anesthetized with low-dose ropivacaine combined with sufentanil.The anesthesia effect,hemodynamic changes,pain score,bleeding score,postoperative rectal traction reflectance,and incidence of adverse reactions were compared between two groups of patients.Results Compared with the control group,the observation group had a shorter onset time of anesthesia(P＜0.05)and a longer duration of anesthesia maintenance(P＜0.05).Before surgery,there was no statistically significant difference in heart rate and mean arterial pressure between the two groups of mixed hemorrhoid patients(all P＞0.05);After surgery,both groups of patients had an increase in heart rate,a decrease in mean arterial pressure,and a more significant change in the control group(all P＜0.05).Before surgery,there was no statistically significant difference in Visual Analogue Scale(VAS)scores and bleeding scores between the two groups of mixed hemorrhoid surgery patients(all P＞0.05);After 1 day of surgery,the VAS score and bleeding score of both groups of patients were significantly reduced(all P＜0.05),and the observation group showed a more significant decrease(all P＜0.05).The postoperative recovery rate of anal contraction in the observation group was higher than that in the control group(P＜0.05),and the rectal traction reflectance was lower than that in the control group(P＜0.05).The total incidence of adverse reactions in the observation group was significantly lower than that in the control group(x2=4.667,P＜0.05).Conclusions The combination of low-dose ropivacaine and sufentanil has a definite anesthetic effect on patients undergoing mixed hemorrhoid surgery.It can improve the onset time of anesthesia and postoperative rectal traction reflectivity,alleviate patient pain,and has high safety.
关键词
罗哌卡因/舒芬太尼/痔/麻醉Key words
Ropivacaine/Sufentanil/Hemorrhoids/Anesthesia引用本文复制引用
出版年
2024
NETL
NSTL
万方数据