罗哌卡因与氟比洛芬酯用于缓解腰椎手术术后镇痛的疗效与护理

The analgesic effect of two different analgesics( Ropivacaine and Flurbiprofen Axetil) in relieving lumbar spine postoperative pain and the nursing care

目的观察罗哌卡因局部浸润注射与氟比洛芬酯静脉滴注缓解腰椎手术术后的镇痛效果及患者临床护理措施的满意度。方法共纳入62例腰椎间盘突出症接受手术治疗的患者为研究对象,随机分为研究组(32例)和对照组(30例),研究组患者在缝合切口时局部浸润注射罗哌卡因,对照组患者术后每日静脉滴注氟比洛芬酯1次,两组患者均接受综合护理措施进行术后护理,应用视觉模拟评分(VAS)比较两组患者术后疼痛评分及护理满意度。结果两组患者术前疼痛评分比较,差异无统计学意义(t=0.267,P=0.790)。术后3~36 h,两组患者VAS评分比较,差异均无统计学意义(P>0.05)。研究组患者总不良反应发生率9.39%,显著低于对照组患者总不良反应发生率33.33%,差异无统计学意义(χ~2=5.363,P=0.021)。研究组患者总满意率96.88%,显著高于对照组患者总满意率90.00%,差异无统计学意义(Z=-2.556,P=0.011)。结论在腰椎手术后早期使用罗哌卡因镇痛效果优于氟比洛芬酯静脉滴注,且不良反应发生率低。

Objective To evaluate the postoperative analgesic effect and nursing care satisfaction degree of local infiltration of ropivacaine hydrochloride and intravenous injection of flurbiprofen axetil. Methods 62 patients were randomly divided into observation group（ n = 32） and control group（ n = 30）. Patients in observation group received local infiltration of ropivacaine and the control group received intravenous injection of flurbiprofen axetil injection once each day. Comprehensive nursing measures were used in postoperative nursing.The VAS was applied to assess the postoperative pain and satisfaction on nursing. Results Before the surgery the VAS score of the two groups were similar to each other,the difference was not significant（ t = 0.267,P = 0.790）.The 3h、6h、12h、24h and 36 h VAS score in observation group were similar to those of the control group（ P 0.05）. The incidence of adverse reaction in observation group was 9.39%,it was significantly lower than 33.33% in control group and there was significant difference（ χ~2= 5. 363,P = 0. 021）. The difference of satisfaction degree between observation group and control group（ 96. 88% vs 90%） was statistically significant（ Z =-2. 556,P = 0.011）.Conclusions The analgesic effect of ropivacaine in early postoperative lumbar surgery is superior to flurbiprofen axetil intravenous drip,and the incidence of adverse reactions is low.