右美托咪定复合布比卡因在腹股沟疝Lichtenstein术中应用效果  

Effect of dexmedetomidine combined with bupivacaine in patients with Lichtenstein of inguinal hernia repair

作　　者：张少华 崔振华[1] 马斌[1] 仲伟娟 Zhang Shaohua;Cui Zhenhua;Ma Bin;Zhong Weijuan(Department of Anesthesiology,Suixi County Hospital,Suixi,Anhui 235100,China)

机构地区：[1]安徽省濉溪县医院麻醉科,235100

出　　处：《中华疝和腹壁外科杂志（电子版）》2023年第3期312-315,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

基　　金：安徽省卫生健康委科研项目(AHWJ2021a025)

摘　　要：目的探讨右美托咪定复合布比卡因在腹股沟疝Lichtenstein术中的麻醉及术后镇痛效果。方法选取2020年5月至2022年6月,安徽省濉溪县医院收治的腹股沟疝患者74例为研究对象,运用随机数表法将患者分为对照组(37例)和研究组(37例),对照组采用葡萄糖、舒芬太尼及布比卡因,研究组采用右美托咪定和布比卡因。比较2组临床效果、手术相关指标、麻醉相关指标、疼痛视觉模拟评分(VAS)、Bromage评分、Ramsay评分以及不良反应发生情况。结果(1)研究组麻醉效果总优良率为94.59%,明显高于对照组78.39%(P<0.05)。(2)研究组术中出血明显少于对照组;胃肠道功能恢复时间、手术时间、住院时间明显短于对照组(P<0.05)。(3)研究组麻醉起效时间、运动神经阻滞持续时间、感觉阻滞持续时间明显短于对照组;研究组镇痛持续时间明显长于对照组(P<0.05)。(4)研究组术后VAS及Bromage评分明显低于对照组,Ramsay评分明显高于对照组(P<0.05)。(5)研究组不良反应总发生率为8.11%,明显低于对照组27.02%(P<0.05)。结论右美托咪定复合布比卡因在腹股沟疝Lichtenstein术中具有较好的麻醉效果及术后镇痛作用。Objective To investigate the anesthesia effect and postoperative analgesia of dexmedetomidine combined with bupivacaine in patients undergoing Lichtenstein surgery.Methods 74 patients with inguinal hernia admitted to Suixi County Hospital,Anhui from May 2020 to June 2022 were selected as study subjects,and divided into control group(37 patients)and study group(37 patients)by random number table method.The control group received glucose,sufentanil and bupivacaine,the study group received dexmedetomidine and bupivacaine.The clinical effects,surgery-related indicators,anesthesia-related indicators,visual analog scale(VAS)score,Bromage score,Ramsay score,and adverse reactions were compared between the two groups.Results(1)The total excellent and good rate of anesthesia effect in the study group was 94.59%,which was significantly higher than 78.39%in the control group(P<0.05).(2)The intraoperative bleeding in the study group was significantly less than that in the control group;the recovery time of gastrointestinal function,operation time and hospital stay were significantly shorter than those in the control group(P<0.05).(3)The onset time of anesthesia,duration of motor nerve block,and duration of sensory block in the study group were significantly shorter than those in the control group;the duration of analgesia in the study group was significantly longer than that in the control group(P<0.05).(4)The postoperative VAS and Bromage scores of the study group were significantly lower than those of the control group,and the Ramsay score was significantly higher than that of the control group(P<0.05).(5)The total incidence of adverse reactions in the study group was 8.11%,which was significantly lower than 27.02%in the control group(P<0.05).Conclusion Dexmedetomidine combined with bupivacaine has good anesthetic effect and postoperative analgesia in patients with Lichtenstein surgery.

关 键 词：右美托咪定 布比卡因 疝 腹股沟 疝修补术 麻醉 镇痛 

分 类 号：R656.21[医药卫生—外科学] R614[医药卫生—临床医学]