罗哌卡因在手术治疗中的应用效果研究  

Study on the Application Effect of Ropivacaine in Surgical Treatment

作　　者：邵明强 李亚伟 郝聚达 SHAO Mingqiang;LI Yawei;HAO Juda(Department of Anesthesiology,Zaozhuang Hospital of Shandong Health Group,Zaozhuang,Shandong Province,277100 China;Department of Orthopedics,Zaozhuang Hospital of Shandong Health Group,Zaozhuang,Shandong Province,277100 China;Operating Room,Zaozhuang Hospital of Shandong Health Group,Zaozhuang,Shandong Province,277100 China)

机构地区：[1]山东健康集团枣庄医院麻醉科,山东枣庄277100 [2]山东健康集团枣庄医院骨科,山东省庄277100 [3]山东健康集团枣庄医院手术室,山东枣庄277100

出　　处：《中外医疗》2023年第21期116-119,共4页China & Foreign Medical Treatment

摘　　要：目的 探讨罗哌卡因在手术治疗中的应用效果。方法 方便选取2019年8月—2022年7月于山东健康集团枣庄医院接受手术治疗的378例患者作为研究对象,采用随机数表法分为两组,即参照组189例接受利多卡因麻醉镇痛,研究组189例接受罗哌卡因麻醉镇痛。比较两组视觉模拟评分量表(Visual Analogue Scale,VAS)评分、Bromage评分、临床指标、麻醉指标。结果 研究组术后0.5 hVAS评分(7.05±0.13)分、术后1.5 hVAS评分(3.32±0.63)分、术后3.5 hVAS评分(3.02±0.23)分以及术后5.5 hVAS评分(3.72±0.53)分均低于参照组,差异有统计学意义(t=43.909、20.300、22.033、27.642,P<0.05)。给药后各时间段研究组Bromage评分均低于参照组,差异有统计学意义(P<0.05)。术后40 min、5 h,两组平均动脉压、心率及脉搏氧饱和度比较,差异无统计学意义(P>0.05)。两组拔管时间、自主呼吸时间以及意识恢复时间比较,差异无统计学意义(P>0.05)。结论 罗哌卡因药物在手术麻醉中的有效应用,可获得显著麻醉阻滞效果,并且表现出的镇痛作用较强,可显著提高手术患者的预后水平。Objective To investigate the application effect of ropivacaine in surgical treatment.Methods A total of 378 patients who received surgical treatment in Zaozhuang Hospital of Shandong Health Group from August 2019 to July 2022 were conveniently selected as the study objects and divided into two groups by random number table method:189 patients in the reference group received lidocaine anesthesia and analgesia,and 189 patients in the study group received ropivacaine anesthesia and analgesia.Visual Analogue Scale(VAS) score,Bromage score,clinical index and anesthesia index were compared between the two groups.Results The study group scored after surgery 0.5 hVAS(7.05±0.13) points,after surgery 1.5 hVAS(3.32±0.63) points,after surgery 3.5 hVAS(3.02±0.23) points and after surgery 5.5 h VAS scores(3.72±0.53) points were lower than those in the control group,the difference was statistically significant(t=43.909,20.300,22.033,27.642,P<0.05).The Bromage score of the study group was lower than that of the reference group at all time periods after administration,the difference was statistically significant(P<0.05).At 40 min and 5 h after operation,there was no statistically significant difference in mean arterial pressure,heart rate and pulse oxygen saturation between the two groups(P>0.05).There was no statistically significant difference in extubation time,spontaneous breathing time and consciousness recovery time between the two groups(P>0.05).Conclusion The effective application of ropivacaine in surgical anesthesia can obtain significant anesthesia block effect,and exhibit strong analgesic effect,which can significantly improve the prognosis of surgical patients.

关 键 词：罗哌卡因 临床麻醉 平均动脉压 心率 脉搏氧饱和度 镇痛效果 Bromage评分 

分 类 号：R4[医药卫生—临床医学]