摘要
【目的】观察地佐辛联合局麻药用于股神经阻滞在前交叉韧带重建术后的镇痛效果。【方法】75例行膝关节前交叉韧带重建术的患者随机分为A、B、C三组,每组25例,在B超引导下行股神经阻滞。局麻药均为0.2%罗哌卡因25 ml,A组局麻药中不加地佐辛,B组在局麻药中加入10 mg地佐辛,C组在阻滞完成后静脉注射地佐辛10 mg。股神经阻滞成功后,行单次蛛网膜下腔阻滞后进行手术。并记录各组患者的感觉阻滞起效时间、感觉阻滞持续时间和镇痛持续时间。同时采用VAS评分评价患者麻醉后6、8、12 h的镇痛效果,观察各组患者的不良反应。【结果】各组的感觉阻滞起效时间、感觉阻滞持续时间和镇痛持续时间以及6、8、12 h的VAS评分无显著差异。C组(28%)不良反应的发生率明显高于A组(0%)和B组(4%)(P<0.05)。【结论】地佐辛联合罗哌卡因用于股神经阻滞对膝关节前交叉韧带重建术后的镇痛效果无明显影响。
[Objective] To investigate the effects of femoral nerve block（FNB） with dezocine combined with local anesthetic in postoperative analgesia after anterior cruciate ligament reconstruction（ACLR）. [Methods] 75 patients, who were under-going ACL reconstruction, were randomly divided into three treatment groups（n = 25 for each group） and under the ultrasound-guided FNB . The local anaesthetic was 0.2% ropivacaine 25 ml. Group A receiced the local anaesthetic alone. Group B received an FNB with 25 ml of 0.2% ropivacaine containing 10 mg dezocine. Patients in group C received an intravenous injection of 10 rag dezocine after FNB. After FNB, single subarachnoid block were administrated. Onset time of anesthesia, duration of sensory block and analgesia, postanethesia visual analogue scale（VAS） and side effects were recorded. [Results] There were no differences among those groups about the onset time of anesthesia, duration of sensory block and analgesia. No significant results were found about the VAS at 6, 8, 12 hours after FNB. The incidence of side effects in group C（28% ） were significantly higher than those in group A（0% ） and group B（4%） （P〈O.05）. [Conclusion] FNB with dezocine combined with ropivacaine showed no more advantages than ropivacaine alone in postoperative analgesia of ACLR.
出处
《武警后勤学院学报（医学版）》
CAS
2015年第6期440-443,共4页
Journal of Logistics University of PAP（Medical Sciences）
关键词
地佐辛
罗哌卡因
股神经阻滞
前交叉韧带重建
Dezocine
Ropivacaine
Femoral nerve block
Anterior cruciate ligament reconstruction
