右美托咪定复合罗哌卡因连续腰丛神经阻滞对老年髋关节置换术后早期康复的影响

Effect of continuous lumbar plexus block with Dexmedetomidine combined with Ropivacaine on early rehabilitation after hip replacement in elderly patients

目的探讨右美托咪定复合罗哌卡因连续腰丛神经阻滞对老年髋关节置换术后早期康复的影响。方法将2017年6月—2018年3月我院接诊的60例老年髋关节置换患者纳入本研究,利用随机数字表法均分为观察组和对照组各30例。观察组予1μg/ml右美托咪定+0.1%罗哌卡因,对照组予0.2%罗哌卡因,观察2组麻醉用药情况、PSQI评分。结果观察组神经阻滞泵按压次数、罗哌卡因用量、吗啡用量低于对照组(P<0.05);观察组术后第1天、第7天PSQI评分低于对照组(P<0.05)。结论右美托咪定复合罗哌卡因连续腰丛神经阻滞能够减少老年髋关节置换术后神经阻滞泵按压次数、罗哌卡因用量、吗啡用量,促进康复,应用价值较高。

Objective To investigate the effect of continuous lumbar plexus block with dexmedetomidinecombined with ropivacaine on early rehabilitation after hip replacement in the elderly. Methods 60 patients admitted toour hospital from June 2017 to March 2018 were included in this study. using random number table to extract samples,they were equally divided into observation group and control group,30 cases in each group. Observation group：1 g/mldexmedetomidine ＋0.1% ropivacaine. The control group：0.2% ropivacaine. The drug use and PSQI score were observed.Results The number of press,ropivacaine and morphine used in the observation group were lower than that of thecontrol group （P〈0.05） . And the score of 1d and 7d PSQI after operation in the observation group was lower than that ofthe control group （P〈0.05） . Conclusion The continuous lumbar plexus block with dexmedetomidine combined withropivacaine can improve the anesthetic effect of the early rehabilitation after hip replacement,reduce the press times of the control group （P〈0.05） . Conclusion The continuous lumbar plexus block with dexmedetomidine combined withropivacaine can improve the anesthetic effect of the early rehabilitation after hip replacement,reduce the press times ofthe nerve block pump,the dosage of ropivacaine and morphine,and promote vehabilitation it has application value.