罗比卡因联合舒芬太尼麻醉在下肢手术麻醉平面与镇痛效果分析.docVIP

罗比卡因联合舒芬太尼麻醉在下肢手术麻醉平面与镇痛效果分析 　　【摘要】 目的 探讨分析罗比卡因联合舒芬太尼麻醉在下肢手术的麻醉平面与镇痛效果。方法 70例 　　行下肢手术的患者， 采用数字表法分为对照组和观察组， 每组35例。对照组给予单纯罗比卡因手术麻醉， 观察组采用罗比卡因联合舒芬太尼手术麻醉， 比较两组的麻醉平面与镇痛效果。结果 观察组感觉阻滞到达平面时间明显短于对照组， 差异有统计学意义（P0.05）。结论 下肢手术患者应用罗比卡因联合舒芬太尼麻醉， 麻醉效果满意， 保持机体体征平稳， 有利于患者术后恢复， 具有临床推广价值。 　　【关键词】 罗比卡因；舒芬太尼；下肢手术；麻醉平面；镇痛效果 　　DOI：10.14163/j.cnki.11-5547/r.2017.05.045 　　Analysis of ropivacaine combined with sufentanil anesthesia on anesthesia level and analgesic effect in lower limb surgery JIN Fu-zhi， JIN Hao-zhe， JIN Hai-yan. Department of Anesthesia， Yanbian University Affiliated Hospital （Yanbian Hospital） Western Hospital， Yanji 133000， China 　　【Abstract】 Objective To explore and analyze the anesthesia level and analgesic effect of ropivacaine combined with sufentanil anesthesia in lower limb surgery. Methods A total of 70 patients with lower limb surgery were divided by number table method into control group and observation group， with 35 cases in each group. The control group received ropivacaine for surgical anesthesia， and the observation group received ropivacaine combined with sufentanil for surgical anesthesia. Comparison were made on anesthesia level and analgesic effect in two groups. Results The observation group shorter had sensory block reaching level time than the control group， and the difference had statistical significance （P0.05）. Conclusion Combined anesthesia of ropivacaine and sufentanil anesthesia shows satisfied anesthesia effect， and it also can balance the body symptoms， which is beneficial to patients with postoperative recovery. So this method has clinical promotion value. 　　【Key words】 Ropivacaine； Sufentanil； Lower limb surgery； Anesthesia level； Analgesic effect 　　?R床下肢手术中通常采用的麻醉方式为硬膜外麻醉、蛛网膜下腔麻醉和椎管内麻醉[1]。其中椎管内麻醉具有起效快、效果好、不良反应少等优点， 全身麻醉术后肺不张、低血压症等并发症的发生率较低， 适合老年患者使用[2]。罗比卡因属于长效酰胺类局部麻醉药物， 镇痛时间较长， 能够很好的分离人体感觉和运动神经， 缺点是起效时间较长， 而硬膜外麻醉效果的关键性判断标准为起效时间的长短[3-5]。舒芬太尼是阿片类药物芬太尼的衍生物， 有较好的脂溶性， 具有起效快、镇痛时间长等特点[6]。本实验着重探讨分析罗比卡因联合舒芬太尼麻醉在下肢手术的麻醉平面与镇痛效果， 现报告如下。 　　1