罗哌卡因复合舒芬太尼骶管阻滞用于肛肠手术后镇痛的效果观察

Effect of ropivacaine combined with sufentanil for sacral block for analgesia after anorectal surgery

目的探究罗哌卡因复合舒芬太尼骶管阻滞用于肛肠手术后镇痛的效果。方法选取2016年7月至2017年7月间来我院肛肠科就诊行手术治疗的100例患者为本研究的受试对象。将其随机分为实验组50例,对照组50例。给予对照组受试对象以0.5%罗哌卡因;给予实验组受试对象以0.5%罗哌卡因及舒芬太尼6g。结果实验组受试对象术后4h,8h,12h,24h的疼痛评分分别为3.4±2.1、3.0±1.8、1,9±1.1、1.3±0.6,均较对照组低,差异具有统计学意义(P<0.05)。实验组受试对象不良反应发生率为8%,低于对照组的28%,差异具有统计学意义(P<0.05);实验组杜冷丁使用率为6%,低于对照组的38%,差异具有统计学意义(P<0.05)。结论罗哌卡因复合舒芬太尼骶管阻滞用于肛肠手术后镇痛效果良好,不良的反应发生率低,止痛药使用率低,可提高患者的生活质量。

objective:to explore the luo pp composite sufentanil paid sacral canal blocking for anorectal surgery analgesia effect.Methods:selected in July 2016 to July 2017 to our hospital anus bowel division line of surgical treatment of 100 cases of patients as the subjects of this study.It were randomly divided into experimental group 50 cases,control group of 50 cases.Gives 0.5% to the control group subjects,pp paid;Given the experimental group subjects with 0.5% ROM pp paid and sufentanil 6 g.Results:the experimental group subjects postoperative 4 h,8 h,12 h,24 hpain scores were 3.4 ± 2.1,3.0 ± 1.8,1,9,1.3 0.6 mm,1.1 mm was lower than those of control group,the difference statistically significant(P< 0.05).Experimental subjects the incidence of adverse reactions was 8%,28%lower than the control group,the difference statistically significant(P< 0.05);Experimental demerol utilization rate is6%,less than 38% of the control group,the difference statistically significant(P< 0.05).Conclusion:luo pp composite sufentanil paid sacral canal blocking for anorectal surgery analgesia effect is good,the low incidence of adverse reactions,painkillers,low utilization rate can improve the life quality of patients.