小剂量舒芬太尼与罗哌卡因复合麻醉对下肢骨折手术患者血流动力学及镇痛效果的影响  

Effect of Low Dose Sufentanil Combined With Ropivacaine on Hemodynamics and Analgesic Effect of Lower Extremity Fracture Surgery

作　　者：方锐[1] Fang Rui(Department of Anesthesiology,Nanyang First People's Hospital,Nanyang473000,China)

机构地区：[1]南阳市第一人民医院麻醉科,河南南阳473000

出　　处：《哈尔滨医药》2022年第4期37-39,共3页Harbin Medical Journal

摘　　要：目的研究小剂量舒芬太尼与罗哌卡因复合麻醉对下肢骨折手术患者血流动力学及镇痛效果的影响。方法选取接受手术治疗的下肢骨折患者113例为本研究对象,按简单随机化分组方式分为A组(55例)和B组(58例),A组患者给予单纯罗哌卡因麻醉,B组患者给予小剂量舒芬太尼联合罗哌卡因麻醉,比较两组患者感觉、运动阻滞起效及维持时间,记录两组患者T1(麻醉前)、T2(术后2h)、T3(术后6h)和T4(术后12h)时间点视觉疼痛评分(VAS),并比较上述时间点两组患者血流动力学相关指标变化。结果B组患者感觉、运动阻滞起效时间低于A组,感觉阻滞维持时间和运动阻滞维持时间高于A组(P<0.05);T2、T3、T4时间点B组患者VAS评分低于A组患者(P<0.05);B组患者T2、T3、T4时间HR、MAP低于A组患者,且A组患者T3时间HR高于与同组其他时间点(P<0.05)。结论小剂量舒芬太尼与罗哌卡因复合麻醉应用于下肢骨折手术患者,可增加其血流动力学稳定性,减少循环系统波动,且阻滞起效时间加快,维持时间延长,镇痛效果显著,可临床推广使用。Objective To investigate the effect of low-dose sufentanil combined with ropivacaine on hemodynamics and analgesia in patients with lower extremity fracture surgery.Methods Selection 113 patients with lower limb fracture as the research object,by the simple randomized grouping were divided into group A(55 cases)and group B(58 cases),A group of patients to give simple,pp because anesthesia,B group of patients given small doses sufentanil joint ROM pp because anesthesia,compared two groups of patients with sensory and motor block,effect and maintain time records of two groups of patients with T1(before anesthesia),T2(2 h)after operation,T3(6 h)after surgery and T4(12 h)postoperative time points visual pain score(VAS),The changes of hemodynamic indexes were compared between the two groups at the above time points.Results The onset time of sensory block and motor block in group B was lower than that in group A,and the maintenance time of sensory block and motor block was higher than that in group A(P<0.05).VAS scores of patients in Group B at time points T2,T3,and T4 were lower than those in group A(P<0.05).In group B,HR and MAP at Time T2,T3 and T4 were lower than those in group A,and HR at time T3 in group A was higher than other time points in the same group(P<0.05).Conclusion The application of low-dose sufentanil combined with ropivacaine in lower limb fracture surgery can increase its hemodynamic stability,reduce circulatory system fluctuation,accelerate the onset time of block,prolong the maintenance time,and have significant analgesic effect,which can be widely used in clinical practice.

关 键 词：舒芬太尼 罗哌卡因 麻醉 下肢骨折 血流动力学 镇痛 

分 类 号：R457.2[医药卫生—治疗学]