罗哌卡因复合曲马多用于子宫切除术后镇痛的体会

Experience of Ropivacaine Combined Tramadol for Postoperative Pain of Hysterectomy

目的:探讨罗哌卡因复合曲马多用于子宫切除术术后镇痛的临床疗效。方法:选择90例我院择期手术子宫切除术患者,随机分为A组与B组两组,每组45例。A组为对照组,B组为观察组,A组使用0.125%的罗哌卡因;B组使用0.125%的罗哌卡因复合0.3%的曲马多,观察两组患者用药后12h、24h、36h和48h的血压和心率变化,采用改良Bromage评分法观察患者的运动阻滞程度,并记录术后第12h、24h、36h和48h各时间点视觉模拟评分法(VAS)评分和副作用的发生情况,调查患者术后对镇痛效果的总体满意度,并进行统计分析。结果:观察组与对照组比较,观察组患者的平均血压、疼痛情况评分,运动阻滞评分、副作用的发生以及总体满意度调查情况都明显优于对照组,统计结果均有显著性差异(P<0.05)。结论:0.125%的罗哌卡因复合0.3%的曲马多是子宫切除术术后镇痛的有效方法。

Objective： Discuss the clinical efficacy of ropivacaine combined tramadol for postoperative analgesia in hysterectomy. Methods：Selected 90 patients of which were on the hysterectomy in our hospital.They were divided into two groups which were called A and B,each of them had 45 patients.A group was for the control group and B group for the observation group while A was with 0.125% ropivacaine and B was with 0.125% ropivacaine combined 0.3% of tramadol in the hysterectomy.Observed each of the changes of blood pressure and heart rate at 12h,24h,36h and 48b.Recorded visual analogue scales （VAS） scores of each time point after the first 12h,24h,36h and 48h and the side effects,then investigated postoperative analgesic effect on overall satisfaction.Results：Compared with the control group,the mean of blood pressure,pain scores;move block scores,side effects,and overall satisfaction surveys were obviously better than the control group,with the statistical significant differenee（P〈0.05）.Conclusion：0.125% of ropivacaine with 0.3% of tramadol is an effective method of postoperative analgesia in hysterectomy.