摘要
目的:研究地佐辛、罗派卡因+塞来昔布应用在骨折患者腰-硬联合麻醉当中镇痛效果。方法:本文行分组对照实验,将2018年1月到2019年8月的56例来我院进行创伤性骨折治疗的患者应用抽签法则分为观察组和对照组,两组例数等量,均为28例。观察组通过地佐辛、罗派卡因、塞来昔布进行腰-硬联合麻醉研究,对照组行常规的腰-硬联合麻醉研究,术后采用罗派卡因常规镇痛,分别计算两组相关数据统计结果,并做统计学比较。结果:观察组的麻醉优良率为100.00%(28/28),对照组为96.43%(27/28),P>0.05,差异存在统计学意义;观察组的不良反应发生率为10.71%(3/28),对照组为7.14%(2/28),P>0.05,差异不存在统计学意义;比较两组患者术后的睁眼时间、疼痛评分、定向力恢复时间,观察组都明显比对照组更好,P<0.05,差异存在统计学意义。结论:对创伤性骨折患者通过地佐辛、罗派卡因+塞来昔布进行腰-硬联合麻醉所取得的效果明显优于单纯的腰-硬联合麻醉,能够在确保麻醉效果和安全性的基础上发挥镇痛作用,值得推广。
Objective To study the analgesic effect of dizosin,ropicain and celecoxib in the combined spinal and epidural anesthesia of fracture patients.Methods 56 patients who came to our hospital from January 2018 to August 2019 for the treatment of traumatic fracture were divided into observation group and control group by the method of drawing lots.The number of patients in both groups was equal,28 cases.In the observation group,the combined spinal and epidural anesthesia was studied by dizosin,ropicaine and celecoxib,and in the control group,the combined spinal and epidural anesthesia was studied.After the operation,the routine analgesia was used by ropicaine.The statistical results of the relevant data were calculated and compared between the two groups.Results the excellent rate of anesthesia was 100.00%(28/28)in the observation group,96.43%(27/28)in the control group,P>0.05,the difference was statistically significant;the incidence of adverse reactions was 10.71%(3/28)in the observation group,7.14%(2/28)in the control group,P>0.05,the difference was not statistically significant;the time of eye opening,pain score and recovery time of directional force in the observation group were compared.The difference was statistically significant(P<0.05).Conclusion the effect of combined spinal and epidural anesthesia with dizosin,ropicain and celecoxib is better than that of combined spinal and epidural anesthesia alone,which can play an analgesic role on the basis of ensuring the effect and safety of anesthesia,and is worth popularizing.
