不同浓度罗哌卡因在星状神经节阻滞治疗面瘫急性期中的疗效研究  

Cure Effect of Different Concentrations of Ropivacaine on Facial Paralysis by Blocking Stellate Ganglion

作　　者：施冬生[1] 王锐[1] 张娟[1] 

机构地区：[1]浙江中医药大学附属第一医院,杭州310006

出　　处：《浙江中医药大学学报》2012年第7期778-779,共2页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]探讨不同浓度罗哌卡因对在星状神经节阻滞治疗面瘫的疗效研究。[方法]将29例面瘫急性期(发病1周内)患者随机分为A、B两组,A组15例应用0.15%浓度的罗哌卡因,B组14例应用0.25%罗哌卡因,两组星状神经节阻滞治疗的疗程为15d。以面瘫综合评分法评价两组疗效、阻滞后霍纳氏征的持续时间和不良反应的发生率。[结果]治疗15d后,两组面瘫综合评分比较差异有统计学意义,B组优于A组(P<0.05);不同浓度罗哌卡因作用时间比较,B组患者阻滞恢复时间长于A组,差异有显著性(P<0.01)。[结论]0.25%较0.15%罗哌卡因对阻滞恢复时间长,对急性面瘫治疗更有效。[Objective] To study the effect of different concentrations of ropivacaine on facial paralysis. [Method] Randomly di- vide 29 cases of facial paralysis in acute period into 2 groups, group A take ropivacaine of 0.15% concentration; group B, 0.25%, both for 15d for blocking stellate ganglion. Evaluate both cure effects, Homer continual time and side effects with facial paralysis comprehensive score. [Result] There＇s difference of statistical meaning on both facial paralysis comprehensive score; comparing different concentrations of ropivacaine functioning time, group B was longer than A in recovery time, with marked difference. [Conclusion] The ropivacaine in concentration of 0.25% has longer recovery time than 0.15% from block, and more effective on acute facial paralysis too.

关 键 词：面瘫 急性期 星状神经节阻滞 罗哌卡因 

分 类 号：R741.02[医药卫生—神经病学与精神病学]