不同浓度罗哌卡因在临床麻醉及疼痛治疗中的应用价值

Application Value of Different Concentrations of Ropivacaine in Clinical Anesthesia and Pain Treatment

目的:探究不同浓度罗哌卡因临床应用的效果。方法:选取茂名市中医院2018年5月至2019年10月收治的100例硬膜外镇痛患者,采取抽签分组方法分为观察组以及对照组,各50例。观察组采用0.25%罗哌卡因镇痛方式,对照组采用0.50%罗哌卡因镇痛方式,分析并且比较两组各项指标。结果:术前,两组患者的疼痛评分无差异(P>0.05);观察组患者术后1 d、术后2 d、术后3 d疼痛评分均低于对照组同时间疼痛评分,差异具有统计学意义(P<0.05)。观察组患者不良反应发生率低于对照组,差异具有统计学意义(P<0.05)。观察组患者Ramsay镇静评分为(4.01±1.21)分,低于对照组的(5.36±0.27)分,差异具有统计学意义(P<0.05)。结论:在临床麻醉及疼痛治疗中采取0.25%罗哌卡因,取得显著的镇痛效果。

Objective To explore the effect of clinical application of different concentrations of ropivacaine.Methods 100 patients with epidural analgesia treated in Maoming Hospital of Traditional Chinese Medicine from May 2018 to October 2019 were divided into observation group and control group by lot,with 50 cases in each group.The observation group was treated with 0.25%ropivacaine and the control group with 0.50%ropivacaine.The indexes of the two groups were analyzed and compared.Results Before surgery,there was no difference in pain scores between the two groups(P<0.05).The pain scores of the observation group were lower than those of the control group at the same time(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).The Ramsay Sedation score of the observation group was(4.01±1.21),which was lower than that of the control group(5.36±0.27).The difference was statistically significant(P<0.05).Conclusion Low concentration(0.25%)ropivacaine can achieve significant analgesic effect in clinical anesthesia and pain treatment.