摘要
目的探讨0.75%布比卡因腰麻在髋关节置换手术中的应用价值体会。方法选择2016年1月至2018年12月本院收治的50例髋关节置换手术患者作为研究对象,依照随机数字表法分为对照组与研究组,各25例。研究组实施0.75%布比卡因腰麻,对照组实施硬膜外阻滞联合布比卡因腰麻。比较分析两组有效镇痛时间、有效阻滞时间、术后并发症情况以及研究组患侧与健侧痛觉阻滞平面,研究组患侧与健侧Bromage评分。结果研究组患者的有效镇痛时间为(5.56±1.40)min,有效阻滞时间为(2.35±0.30)min,与对照组的(4.15±1.03)min、(1.80±0.45)min比较,差异均有统计学意义(t=4.660 2,5.841 9,P<0.05);研究组患者的患侧痛觉阻滞平面为(9.00±2.00),温度觉阻滞平面为(11.00±2.00),触觉阻滞平面为(11.00±2.00),Bromage评分为(3.05±0.12)分,与健侧的(1.00±1.50)、(1.00±1.50)、(1.00±1.00)、(0.35±0.21)分比较,差异均有统计学意义(t=18.382 6,22.978 3,22.978 3,64.127 3,P<0.05);研究组的恶心发生率为4.00%,呕吐发生率为0.00%,寒颤发生率为4.00%,低血压发生率为4.00%,心动过缓发生率为0.00%,与对照组的28.00%、24.00%、40.00%、32.00%、16.00%比较,差异均有统计学意义(x^2=5.357 1,6.818 2,9.440 6,6.639 6,4.181 3,P<0.05)。结论在髋关节置换手术中应用0.75%布比卡因腰麻的效果确切。
Objective To explore the application of 0.75% bupivacaine in lumbar anesthesia for hip replacement. Methods From January 2016 to December 2018, 50 patients with hip replacement surgery were enrolled in the study. According to the random number table, they were divided into control group and study group, with 25 cases in each group. The study group received spinal anesthesia with 0.75% bupivacaine, and the control group received epidural block combined with spinal anesthesia with bupivacaine. The effective analgesia time, effective block time, postoperative complications of the two groups were compared and analyzed, as well as the pain block plane of the patient side and the healthy side in the study group, and the Bromage score of the patient side and the healthy side in the study group. Results The effective analgesia time of the study group was(5.56±1.40) min, the effective block time was(2.35±0.30) min, compared with(4.15±1.03) min and(1.80±0.45) min of the control group, the difference was statistically significant(t=4.660 2, 5.841 9, P<0.05);the pain block plane of the affected side of the study group was(9.00±2.00), the temperature block plane was(11.00 ± 2.00), the level of tactile block was(11.00 ± 2.00) and Bromage score was(3.05 ± 0.12), compared with the healthy side(1.00±1.50),(1.00±1.50),(1.00±1.00),(0.35±0.21), the difference was statistically significant(t=18.382 6, 22.978 3, 22.978 3, 64.127 3,P<0.05). The incidence of nausea, vomiting, shivering, hypotension and bradycardia were 4.00%, 0.00%, 4.00% and 0.00% respectively in studygroup, compared with 28.00%, 24.00%, 40.00%, 32.00%, 16.00% of the control group, the difference was statistically significant(x^2=5.357 1, 6.818 2,9.440 6, 6.639 6, 4.181 3, P<0.05). Conclusion The application of 0.75% bupivacaine in hip replacement is effective.
作者
邵钢
尹丹琴
张振华
施正元
Shao Gang;Yin Danqin;Zhang Zhenhua;Shi Zhengyuan(Department of Anesthesiology,Danyang People's Hospital,Danyang,Jiangsu,212300,China)
出处
《当代医学》
2020年第3期54-56,共3页
Contemporary Medicine