标题:超声引导下舒芬太尼联合罗哌卡因行坐骨神经阻滞的麻醉效果
作者:李圣君 (西宁市第一人民医院麻醉科,青海 西宁 810000)
卷次:
2017年28卷18期
【摘要】 目的 探讨超声引导下舒芬太尼联合罗哌卡因在坐骨神经阻滞中的麻醉效果。方法 选择2016年1~12月在西宁市第一人民医院行下肢手术治疗的患者60例为研究对象,采用数字表法随机分为观察组与对照组各30例。两组患者均在超声引导下行坐骨神经阻滞,观察组含10 μg舒芬太尼的0.5%罗哌卡因25 mL,对照组为25 mL的0.5%罗哌卡因。比较两组患者麻醉前及麻醉后不同时间点血压、心率、血氧饱和度、Ramsay镇静评分以及麻醉效果等。结果 两组在麻醉不同时间点收缩压、舒张压、心率以及血氧饱和度比较差异均无统计学意义(P>0.05)。两组在麻醉不同时间点Ramsay镇静评分比较差异无统计学意义(P>0.05)。观察组感觉阻滞起效时间[(4.2±0.9) min]、感觉阻滞成功时间[(10.1±2.5) min]、运动阻滞起效时间[(6.7±2.0) min]较对照组[(5.3±1.1) min、(13.4±2.6) min、(8.9±3.1) min]显著缩短,差异有统计学意义(P<0.05);观察组镇痛时间[(603.4±110.7) min]显著长于对照组[(524.6±102.8) min],差异有统计学意义(P<0.05)。结论 超声引导下舒芬太尼联合罗哌卡因行坐骨神经阻滞不影响患者血流动力学以及镇静深度,与罗哌卡因阻滞比较,起效更快,术后镇痛时间更长。
【关键词】 舒芬太尼;超声引导;罗哌卡因;坐骨神经阻滞
【中图分类号】 R614.4 【文献标识码】 A 【文章编号】 1003—6350(2017)18—2991—04
Anesthetic effect of sufentanil combined with ropivacaine for ultrasound-guided sciatic nerve block.
LI Sheng-jun.Department of Anesthesiology, Xining First People's Hospital, Xining 810000, Qinghai, CHINA
【Abstract】 Objective To discuss the anesthetic effect of sufentanil combined with ropivacaine for sciatic nerveblock guided by ultrasound. Methods From Jan. 2016 to Dec. 2016, 60 patients undergoing surgical treatment of lowerlimb were selected and were divided randomly into observation group and control group by random number table, eachof 30 cases. All patients received ultrasound-guided sciatic nerve block, with 25 mL of 10 μg sufentanil combined with0.5% ropivacaine in the observation group and 25 mL of 0.5% ropivacaine in the control group. Blood pressure, heartrate, oxygen saturation and Ramsay sedation score at different time points before and after anesthesia, as well as anesthet-ic effect were compared between the two groups. Results Systolic blood pressure (SBP), diastolic blood pressure(DBP), heart rate (HR), oxygen saturation (SpO2), and Ramsay sedation scores at different time points before and afteranesthesia of two groups showed no significant difference (P>0.05). The onset time of sensory block, duration of senso-ry block, and onset time of motor block were (4.2±0.9) min, (10.1±2.5) min (6.7±2.0) min in observation group, versus(5.3±1.1) min, (13.4±2.6) min, (8.9±3.1) min in the control group (P<0.05). Analgesia time of observation group was sig-nificantly longer than that of control group, (603.4±110.7) min vs (524.6±102.8) min, P<0.05. Conclusion Sufentanilcombined with ropivacaine for sciatic nerve block guided by ultrasound does not affect hemodynamics and sedationdepth, but it brings faster onset and longer postoperative analgesia than ropivacaine alone.
【Key words】 Sufentanil; Ultrasound-guided; Ropivacaine; Sciatic nerve block·论 著·doi:10.3969/j.issn.1003-6350.2017.18.019基金项目:青海省西宁市科技支撑计划项目(编号:162302052)
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