罗哌卡因局部浸润麻醉用于股骨近端防旋髓内钉术后镇痛效果研究  

Analgesic effect of ropivacaine local infiltration analgesia after proximal femoral nail anti-rotation surgery

作　　者：张乐[1] 马晨光[2] 

机构地区：[1]沈阳医学院附属中心医院骨外二科,沈阳110024 [2]中国医科大学附属盛京医院麻醉一科,沈阳110004

出　　处：《实用药物与临床》2016年第12期1502-1505,共4页Practical Pharmacy and Clinical Remedies

摘　　要：目的评估罗哌卡因局部浸润麻醉用于股骨近端防旋髓内钉术后镇痛效果。方法将94例因股骨粗隆间骨折并行闭合复位股骨近端防旋髓内钉(Proximal femoral nail anti-rotation,PFNA)内固定手术的患者随机分为2组,试验组(48例)术后应用罗哌卡因局部浸润麻醉,对照组(46例)注射生理盐水,在术后2、4、8、12、24 h评估两组疼痛视觉模拟评分(Visual analogue score,VAS)及不良反应。结果术后2、4、8、12、24 h,试验组患者的VAS评分低于对照组(P<0.05)。试验组中要求增加镇痛的病例数少于对照组(P<0.05),且要求镇痛的时间较晚(P<0.05)。结论罗哌卡因局部浸润麻醉用于股骨近端防旋髓内钉术后镇痛能安全有效地减轻术后疼痛。Objective To evaluate the effect of ropivacaine local infiltration on postoperative pain after proximal femoral nail anti-rotation surgery.Methods Totally 94 patients with intertrochanteric fracture of femur undergoing proximal femoral nail anti-rotation surgery were randomly divided into two groups.Patients in experiment group（n =48） were treated with wound local infiltration of ropivacaine,and control group（n =46） received NS.The visual analogue scale（VAS） at 2,4,8,12 and 24 h after surgery and the adverse effects were recorded.Results The VAS at 2,4,8,12 and 24 h after surgery in experiment group was lower than that of control group（P〈0.05）.The number of patients who requested for additional analgesia was fewer than that of control group（P〈0.05）,and the time for analgesia in experiment group was later than control group（P〈0.05）.Conclusion Ropivacaine local infiltration is safe and effective for analgesia after proximal femoral nail anti-rotation surgery.

关 键 词：罗哌卡因 髋部骨折 髓内钉 镇痛 

分 类 号：R614[医药卫生—麻醉学]