罗哌卡因切口浸润对颅脑手术围拔管期血流动力学的影响及镇痛作用  

Analysis of the effect of incision infiltration of ropivacaine on extubation period of craniocerebral operations and analgesic action

作　　者：邓铸强[1] 钟海清[1] 杨广生[1] 

机构地区：[1]广东高州市人民医院麻醉科,高州525200

出　　处：《中国实用神经疾病杂志》2014年第11期57-59,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析在脑部手术后拔管阶段罗哌卡因浸润对血流动力学的作用,观察其止痛效果。方法选择2013-03—11入我院治疗的脑部疾病患者68例,随机分为实验组和观察组。实验组患者手术切口采用5%罗哌卡因浸润。对照组换成生理盐水,其他条件相同。在手术后不同时间点统计患者的各项血流动力学指标:收缩压、舒张压、心率、血糖含量,然后进行痛感评分。结果实验组与对照组苏醒时间分别为(8.1±1.9)min、(19.3±7.5)min。不同时刻点2组血流动力学指标差异有统计学意义(P<0.05)。实验组VAS评分低于对照组。结论罗哌卡因浸润手术切口效果满意,利于患者的术后康复。Objective To study the effect of incision infiltration of ropivacaine on extubation period of craniocerebral operations and analgesic action.Methods Sixty-eight patients with brain diseases in our hospital from March 2013 to November 2013 were selected ,and were randomly divided into observation group and observation group.Patients in observation group were treated with 5% ropivacaine infiltration operation incision.The observation group was treated by saline infiltration operation incision.Other conditions were the same.Then the hemodynamic indexes at different time points after surgery were recorded ,such as systolic pressure ,diastolic blood pressure ,heart rate ,blood sugar levels.Patients were performed with pain score.Results The resurgence times of the observation group and control group were respective 8.1 ± 1.9 and 19.3 ± 7.5 minutes.At different time points ,two groups had significant different hemodynamic indexes.VAS score in observation group was lower than the control group.Conclusion Using ropivacaine for incision infiltration can achieve very good effect ,and facilitate the postoperative health of patients.

关 键 词：罗哌卡因 切口浸润 拔管期 血流动力学 

分 类 号：R614.32[医药卫生—麻醉学]