地佐辛对胸腔镜术后肋间神经阻滞苏醒期观察

The observation of dezocine on intercostal nerve block recovery period after thoracoscope surgery

目的探讨地佐辛联合罗哌卡因行肋间神经阻滞对胸腔镜手术患者苏醒期的影响。方法择期行胸腔镜手术治疗的患者60例,随机分为2组,地佐辛组(D组),地佐辛0.1mg/kg+罗哌卡因0.375%稀释至30mL;对照组(L组),罗哌卡因0.375%稀释至30mL。2组患者在胸腔镜直视下行肋间神经阻滞,观察其在苏醒期的苏醒质量及不良反应。结果 2组患者在年龄、体重、手术时间相比较无统计学差异;2组患者在呼吸恢复时间、苏醒时间,相比较无统计学差异;D组在拔管时间明显低于L组,差异有统计学意义;在痛觉和镇静躁动评分上,D组低于L组,差异有统计学意义。结论地佐辛联合罗哌卡因肋间神经阻滞,用于胸腔镜手术,可提升患者苏醒质量,镇静镇痛效果好。

Objective To explore the effect of dezocine combined with the ropivacaine intercostal nerve block on the recovery period of patients with thoracoscopic surgery. Methods To select of 60 patients were treated with thora- coscopic surgery, they were randomly divided into two groups, dezocine group （group D）, dezocine 0.1 mg/kg ＋ ropivacaine 0.375% diluted to 30ml; control group （L group）, ropivacaine 0.375% diluted to 30ml. Two groups of patients with thoracoscopic direct intercostal nerve block. To observe the waking quality and adverse reactions in the recovery period. Results There was no statistical difference between the two groups in age, weight and operation time. There was no statistical difference between the two groups in the recovery time and wake time. Group D was significantly lower than group L in tube drawing time. The difference was statistically significant; in VAS pain score, Ramasy sedation score and BCS comfort score, group D is lower than group L, the difference was statistically significant. Conclusion Dezocine and ropivacaine intercostal nerve block, for thoracoscopic surgery, can improve the recovery quality of patients, the sedative analgesic effect is good.