小剂量罗哌卡因在髋臼周围截骨术后快速康复中的应用

Application of low dose ropivacaine in rapid rehabilitation after periacetabular osteotomy

目的探讨小剂量罗哌卡因在髋臼周围截骨术(periacetabular osteotomy,PAO)后患者快速康复中的应用价值。方法纳入2019年1月至6月我院骨科门诊收治的即行PAO的60例患者,随机分为观察组和对照组,每组30例。观察组使用5ml0.25%的罗哌卡因行髂筋膜间隙阻滞,对照组使用5ml0.9%氯化钠注射液行髂筋膜间隙注射。两组术后均予帕瑞昔布钠40 mg静脉注射进行干预。使用视觉疼痛评分标准(visual analogue scale,VAS)比较两组患者术后12、24及48 h静息及被动、主动活动髋关节时的疼痛指数。结果观察组术后各时间点静息及被动、主动活动髋关节时VAS分值低于对照组(P <0.05)。结论采用小剂量罗哌卡因进行髂筋膜间隙阻滞可有效缓解PAO后疼痛,促进患者术后快速康复。

Objective To investigate the application value of low-dose ropivacaine in rapid rehabilitation of patients after periacetabular osteotomy(PAO).Methods A total of 60 patients who underwent PAO in our hospital from January 2019 to June 2019 were included 30 cases in each group.In observation group,5 ml 0.25% ropivacaine was used for iliac fascia space block,and 5 ml 0.9% sodium chloride injection was used in control group.Both groups were intervened by intravenous injection of parecoxib sodium 40 mg.Visual analogue scale(VAS) was used to compare the pain index at rest,passive and active hip movement at 12,24 and 48 h after operation.Results The VAS score of observation group was significantly lower than that of control group at rest,passive and active activities at each time point after operation(P<0.05).Conclusion Low dose ropivacaine for iliac fascia space block can effectively relieve pain after PAO and promote the rapid recovery of patients.