国际医药卫生导报2018，Vol.24Issue(23)：3635-3638,4.DOI:10.3760/cma.j.issn.1007-1245.2018.23.031
右美托咪定复合罗哌卡因收肌管阻滞对膝关节置换术后早期恢复质量的影响
Effect of adductor canal block with dexmedetomidine and ropivacaine on the postoperative early quality of recovery after total knee arthroplasty
林莹 1廖燕凌 1姚玉笙 1郑晓春1
作者信息
- 1. 350001 福州,福建省立医院麻醉科 福建医科大学省立临床学院麻醉教研室
- 折叠
摘要
Abstract
Objective To evaluate the effect of adductor canal block (ACB) with dexmedetomidine and ropivacaine on the postoperative early quality of recovery after total knee arthroplasty. Methods Fifty patients undergoing unilateral total knee arthroplasty were enrolled from October 2017 to December 2017 were randomly divided into two groups, 25 cases in each group. Group S received ACB with 20 ml of 0.5％ ropivacaine, and group D received ACB with 20 ml of 0.5％ ropivacaine and dexmedetomidine 1 μg/kg. PCIA was performed after surgery. The score of QoR-40 was calculated at 1 day before and 24 hours after surgery. The incidence of adverse reactions such as nausea and vomiting, bradycardia, and the number of PCA compressions were recorded within 24 hours after surgery. Results Compared with group S, the total score and each item score of QoR-40 increased at 24 hours after surgery in group D: the total score (173 vs.152), emotional state (39 vs.34), physical comfort (50 vs.45), psychological support (33 vs.31), pain (32 vs.28), physical independence (19 vs.14); the number of PCA compressions significantly reduced (1 vs.6) (P<0.05). There was no statistically significant difference in the incidence of adverse reactions such as nausea and vomiting, bradycardia between the two groups. Conclusion Ultrasound-guided adductor canal block with dexmedetomidine and ropivacaine can improve the postoperative early quality of recovery after total knee arthroplasty, and enhance the recovery after surgery.关键词
右美托咪定/收肌管阻滞/膝关节置换术/早期恢复质量Key words
Dexmedetomidine/Adductor canal block/Total knee arthroplasty/Early quality of recovery引用本文复制引用
林莹,廖燕凌,姚玉笙,郑晓春..右美托咪定复合罗哌卡因收肌管阻滞对膝关节置换术后早期恢复质量的影响[J].国际医药卫生导报,2018,24(23):3635-3638,4.
