肩关节镜引导肩峰下镇痛泵与静脉镇痛泵镇痛效果的比较  

Retrospective analysis of the analgesic effect of shoulder arthroscopy guided subacromial analgesia pump and intravenous analgesia pump

作　　者：李金峰[1] 王成立[2] 陈伯健[3] 李宇国[1] LI Jinfeng;WANG Chengli;CHEN Bojian;LI Yuguo(Department of Anesthesiology,Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510105,China;Department of Anesthesiology,Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangzhou 510120,China;Department of Orthopedics,Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510105,China)

机构地区：[1]广东省中医院麻醉科,广东广州510105 [2]中山大学孙逸仙纪念医院麻醉科,广东广州510120 [3]广东省中医院骨科,广东广州510105

出　　处：《广东药科大学学报》2020年第4期574-576,共3页Journal of Guangdong Pharmaceutical University

基　　金：广东省中医药局科研项目(20171128)。

摘　　要：目的比较肩关节镜手术术后关节镜引导肩峰下置罗哌卡因镇痛泵与静脉镇痛泵的镇痛效果。方法对2017年1月~2019年12月在中山大学孙逸仙纪念医院行单侧肩关节镜手术的患者103例进行回顾性分析,根据术后镇痛策略的不同分为肩峰下置罗哌卡因镇痛泵组(L组,63例)与舒芬太尼静脉镇痛泵组(S组,40例),比较两组患者术后12 h,24 h及48 h的视觉模拟评分(VAS)。结果两组患者的一般临床资料差异无统计学意义,术后12 h及24 h L组VAS评分明显低于S组(3.1±1.1 vs 4.2±1.2,P<0.001;2.7±0.9 vs 3.1±1.0,P=0.02),术后48 h VAS评分差异无统计学意义(P>0.05);术后L组的PCA次数较S组少(4.5±3.1 vs 5.9±2.6,P=0.02)。结论肩关节术后关节镜引导肩峰下置罗哌卡因镇痛泵较静脉镇痛泵效果好,更有利于患者术后早期肩关节功能锻炼。Objective To compare the analgesic effect of arthroscopically guided ropivacaine analgesia pump and intravenous analgesia pump after shoulder arthroscopy surgery.Methods A retrospective study was conducted based on patients who underwent unilateral shoulder arthroscopy at Sun Yat-sen Memorial Hospital of Sun Yat-sen University from January 2017 to December 2019.All patients were divided into subacromial analgesia pump group(63 cases)and intravenous analgesia pump group(40 cases).Visual analog scores(VAS)which was used to evaluate the analgesic effect at 12 h,24 h and 48h after operation was compared between the two groups.Results There was no statistical difference about general clinical characteristics between two groups.There was no significant difference about the VAS score at 48 h after surgery,and the VAS scores of the subacromial analgesia pump group at 12 h and 24 h after surgery were significantly lower than that of the intravenous analgesia pump group(3.1±1.1 vs 4.2±1.2,P<0.001;2.7±0.9 vs 3.1±1.0,P=0.02).The number of PCA in the subacromial analgesia pump group was also less than that of the intravenous analgesia pump group(4.5±3.1 vs 5.9±2.6,P=0.02).Conclusion Arthroscopically guided ropivacainesubacromial patient-controlled analgesic is better than intravenous analgesia pump after shoulder arthroplasty,which is more conducive to early postoperative shoulder joint functional exercise.

关 键 词：肩关节镜 肩峰下 静脉镇痛 

分 类 号：R614[医药卫生—麻醉学]