罗哌卡因复合舒芬太尼硬膜外麻醉在老年胫腓骨骨折患者手术中的应用效果观察OA
Observation on the Effect of Ropivacaine Combined with Sufentanil Epidural Anesthesia in Elderly Patients with Tibia and Fibula Fractures
目的:探究在老年胫腓骨骨折患者手术中应用罗哌卡因复合舒芬太尼硬膜外麻醉的效果.方法:选取 2022年4月—2023年 4月于本院进行手术治疗的 112 例老年胫腓骨骨折患者为研究对象,通过抽签分组法分为对照组与试验组,各56例.对照组患者术中采用全身麻醉,试验组采用罗哌卡因复合舒芬太尼硬膜外麻醉,对比 2组麻醉效果及安全性.结果:试验组麻醉效果优良率为 94.43%,高于对照组的 82.14%,良好率为 3.57%,低于对照组的 16.07%,组间差异有统计学意义(P<0.05).T1、T2、T3 时试验组患者的心率和平均动脉压均低于对照组,组间差异有统计学意义(P<0.05).术后1、4、8、12 h,试验组患者疼痛视觉模拟评分法均低于对照组,组间差异有统计学意义(P<0.05).试验组患者最高阻滞平面时间、运动恢复时间均短于对照组,痛觉消退时间、感觉阻滞持续时间均长于对照组,组间差异有统计学意义(P<0.05).试验组患者麻醉不良反应发生率为 8.93%,低于对照组的 10.71%,差异无统计学意义(P>0.05).结论:老年胫腓骨骨折患者手术中应用罗哌卡因复合舒芬太尼硬膜外麻醉,不仅麻醉效果好,而且对血流动力学的影响小,术后能更快恢复,也不会增加不良反应.
Objective:To explore the effect of ropivacaine combined with sufentanil for epidural anesthesia in elderly patients with tibiofibular fracture.Methods:112 elderly patients with tibiofibular fractures who underwent surgical treatment in our hospital from April 2022 to April 2023 were selected as the research objects.They were divided into a control group and an experimental group by lottery,with 56 cases in each group.The patients in the control group were treated with general anesthesia,and the patients in the experimental group were treated with ropivacaine combined with sufentanil epidural anesthesia.The anesthetic effect and safety of the two groups were compared.Results:The excellent and good rate of anesthesia effect in the experimental group was 94.43%,which was higher than 82.14%and the good rate was 3.57%in the control group,which was lower than 16.07%in the control group,the difference between the two groups was statistically significant(P<0.05).The heart rate and mean arterial pressure of the experimental group were lower than those of the control group at T1,T2 and T3,and the differences between the two groups were statistically significant(P<0.05).At 1,4,8 and 12 hours after operation,the Visual Analogue Scale of pain in the experimental group was lower than that in the control group,and the difference between the two groups was statistically significant(P<0.05).The time of maximum block plane and recovery time of movement in the experimental group were shorter than those in the control group,the time of pain degraded and the duration of sensory block in the experimental group were longer than those in the control group,and the differences between the two groups were statistically significant(P<0.05).The incidence of adverse reactions of anesthesia in the experimental group was 8.93%,which was lower than 10.71%in the control group,and the difference was not statistically significant(P>0.05).Conclusion:Ropivacaine combined with sufentanil for epidural anesthesia during surgery in elderly patients with tibiofibular fractures not only has good anesthetic effect,but also has little effect on hemodynamics,can recover faster after surgery,and does not increase adverse reactions.
王妍
进贤县中医院,江西 进贤 331700
临床医学
老年胫腓骨骨折罗哌卡因舒芬太尼硬膜外麻醉
Senile tibiofibular fractureRopivacaineSufentanilEpidural anesthesia
《中国伤残医学》 2024 (009)
13-16,28 / 5
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