罗哌卡因复合芬太尼用于连续臂丛神经阻滞术后镇痛的效果分析

Application of ropivacaine plus fentanil in postoperative analgesia in patients after continuous brachial plexus block

目的探讨罗哌卡因复合芬太尼在连续臂丛神经阻滞术后镇痛中的应用效果。方法将接受上肢手术治疗的60例患者随机分为观察组与对照组各30例,对照组给予罗哌卡因镇痛,观察组给予罗哌卡因复合芬太尼镇痛,对比两组患者不同时点的镇痛效果与满意度及不良反应。结果观察组术后8 h、12 h、24 h及术后24 h内VAS平均值均显著低于对照组(P<0.01)。两组不良反应比较差异无统计学意义(P>0.05),且均未出现呼吸抑制。结论罗哌卡因复合芬太尼在连续臂丛神经阻滞术后镇痛中具有确切效果,能够延长镇痛时间,且不良反应少,安全可靠。

Objective To discuss the clinical effects of ropivacaine plus fentanil in postoperative analgesia in patients after continuous brachial plexus block.Methods Sixty patients with upper limb surgery were randomly divided into the observation group （n=30） and the control group （n=30）.The observation group were given ropivacaine plus fentanil after the operation,but the control group were given ropivacaine.Clinical effects were compared between the two groups.Results The VAS 8 h,12 h,24 h after the operation and mean VAS in the observation group were significantly lower than those in the control group （P〈0.01）; pressing times after the operation in the observation group were significantly less than that in the control group （P〈0.05）; there was no significantly difference in adverse reactions between the two groups; there was no respiratory depression in the two groups.Conclusion Ropivacaine plus fentanil has exactly effects on postoperative analgesia in patients after continuous brachial plexus block.It can effectively extend the duration of analgesia,with less adverse reaction,and it＇s wothy of promotion.