罗哌卡因联合利多卡因对包皮环切术镇痛效果分析

The analgesic effect of ropivacaine combined with lidocaine in patients with circumcision

目的探讨罗哌卡因联合利多卡因对包皮环切术后患者的镇痛效果。方法 90例单纯包皮过长或包茎患者随机分为利多卡因组(A组)和罗哌卡因组(B组)以及罗哌卡因联合利多卡因混合组(C组),每组30例,分别用1%盐酸利多卡因、0.5%盐酸罗哌卡因以及二者按1∶1比例进行调配麻药,分别对阴茎根部阻滞麻醉并行包皮环切术,术后使用数字疼痛量表对患者疼痛症状进行评分。结果三组均顺利完成手术,患者术后疼痛评分B组(1.23±1.88)和C组(-0.2±0.76)要明显低于A组(1.43±2.25),从麻醉起效时间上看,A组、C组明显快于B组。结论包皮手术中,罗哌卡因联合利多卡因与单纯应用利多卡因以及罗哌卡因麻醉比较,前者镇痛效果较好,且麻醉起效快,更加利于临床操作。

Objective To discuss the analgesia effect of ropivacaine combined with lidocaine on circumcision surgery patients. Methods 90 cases of simple prepuce or phimosis patients were randomly divided into lidocaine group（ A）and ropivacaine group（ group B） and ropivacaine combined with lidocaine mixed group（ group C）,30 cases each group respectively,with 1% lidocaine hydrochloride and 0. 5% ropivacaine hydrochloride and both 1∶ 1 ratio for the deployment of local anesthetics respectively parallel penis circumcision anesthesia,postoperative pain scale were employed to evaluated the patient pain. Results Three groups completed surgery successfully,and postoperative pain score in group B（ 1. 23 ± 1. 88） and group C（- 0. 2 ± 0. 76） were significantly lower than that in group A（ 1. 43 ±2. 25）. The anesthesia effective time in group A and group C were significantly faster than that in group B. Conclusion The two-drug combination of ropivacaine and lidocaine in the circumcision surgery appears better analgesic effect and rapid onset of anesthesia,more conducive to clinical practice.