地佐辛超前镇痛联合腰丛阻滞用于老年患者人工股骨头置换术的临床效果

Dezocion Combined with Lumbar Plexus Nerve Block in Aged Patients with Artificial Femoral Head Replacement Surgery as Preemptive Analgesia

目的:探讨地佐辛超前镇痛用于腰丛神经阻滞手术的可行性。方法:60例ASAⅠ-Ⅱ级拟实施人工股骨头置换术的老年择期患者随机分为两组,A组(30例)采用地佐辛超前镇痛,B组(30例)未使用超前镇痛,5min后两组患者均实施腰丛神经阻滞麻醉。结果:两组患者麻醉起效时间、维持时间比较:麻醉起效时间A组低于B组(P<0.05),麻醉维持时间A组长于B组(P<0.05),A组麻醉后10,20,30min和1,2,4hVAS评分明显低于B组(P<0.05)。结论:老年患者腰丛神经阻滞前使用地佐辛超前镇痛能够更好地完善腰丛神经阻滞的效果。

Objective：To investigate the feasibility of dezocine preemptive analgesia used for patients with lumbar plexus.Methods：Sixty patients with ASAⅠ-Ⅱscheduled for operation under lumbar plexus block were randomized into two groups,Group A（30cases）were performed lumbar plexus with dezocine preemptive analgesia and Group B（30cases）were given only lumbar plexus.Results：Onset time of anesthesia was shorter in Group A than in Group B（P0.05）,and duration of anesthesia was longer in Group A than in Group B（P0.05）,and VAS was significantly lower in Group A than in Group B at 10,20,30 min after anesthesia commence.Conclusion：Dezocine preemptive analgesia used in gerontal patients before lumbar plexus could provide better anesthesia results.