下肢骨折手术麻醉应用小剂量舒芬太尼复合罗哌卡因对患者麻醉效果与疼痛情况的影响分析  

Analysis of the Impact of the Application of Low-dose Sufentanil Combined with Ropivacaine in Anesthesia for Lower Limb Fracture Surgery on the Anesthetic Effect and Pain Situation of Patients

作　　者：潘凤宜 PAN Fengyi(Department of Anesthesia,Yongchun County Hospital,Quanzhou,Fujian,362600,China)

机构地区：[1]永春县医院麻醉科,福建泉州362600

出　　处：《中外医疗》2024年第35期128-131,共4页China & Foreign Medical Treatment

摘　　要：目的研讨在下肢骨折手术麻醉患者中施以小剂量舒芬太尼与罗哌卡因复合用药的效果及对疼痛情况的影响。方法随机选取2021年8月—2024年3月永春县医院接受下肢骨折手术的100例患者为研究对象,依据不同麻醉方案分为两组,各50例,对照组单纯使用罗哌卡因麻醉,观察组在对照组处理条件下加用小剂量舒芬太尼,对比两组患者的麻醉基础指标、血流动力学、疼痛状况与麻醉安全性。结果观察组运动阻滞起效时间短于对照组,观察组感觉、运动阻滞维持时间均长于对照组,差异均有统计学意义(P均<0.05)。观察组手术开始时3 min的心搏指数、心排血量测定值均高于对照组,差异均有统计学意义(P均<0.05)。术后6 h、12 h,观察组疼痛状况得分为(2.61±0.32)分和(3.19±0.25)分,均低于对照组的(3.01±0.36)分和(3.38±0.38)分,差异均有统计学意义(t=5.872,2.053;P均<0.05)。两组均未产生不良反应。结论小剂量舒芬太尼+罗哌卡因方案用于下肢骨折麻醉有较好的效果,可降低对术中血流动力学的影响,减轻术后疼痛,并保障麻醉安全性。Objective To discuss the effect of the combined application of low-dose sufentanil and ropivacaine in patients undergoing anesthesia for lower limb fracture surgery and its impact on the pain situation.Methods A total of 100 patients who underwent lower limb fracture surgery in Yongchun County Hospital from August 2021 to March 2024 were randomly selected as the research objects.They were divided into two groups according to different anesthesia regimens,with 50 cases in each group.The control group was anesthetized with ropivacaine alone,and the observation group was given low-dose sufentanil on the basis of the treatment of the control group.The basic anesthesia indicators,hemodynamics,pain status,and anesthesia safety of the two groups of patients were compared.Results The onset time of motor block in the observation group was shorter than that in the control group,and the duration of sensory and motor block in the observation group was longer than the control group,and the differences were statistically significant(all P<0.05).The measured values of cardiac index and cardiac output in the observation group at 3 minutes after the start of the operation were higher than those in the control group,and the differences were statistically significant(both P<0.05).At 6 h and 12 h after the operation,the pain scores of the observation group were(2.61±0.32)points and(3.19±0.25)points,respectively,which were lower than those of the control group(3.01±0.36)points and(3.38±0.38)points,and the differences were statistically significant(t=5.872,2.053;both P<0.05).No adverse reactions occurred in both groups.Conclusion The scheme of low-dose sufentanil+ropivacaine has a good effect in anesthesia for lower limb fractures,can reduce the impact on intraoperative hemodynamics,relieve postoperative pain,and ensure anesthesia safety.

关 键 词：下肢骨折手术 舒芬太尼 罗哌卡因 麻醉效果 疼痛 

分 类 号：R614[医药卫生—麻醉学]