CAJ | 학술논문

目的比较舒芬太尼复合罗哌卡因神经阻滞对罗哌卡因阻滞时效的影响。方法60例患者随机分为Ⅰ、Ⅱ两组，每组30例。所有患者均在神经刺激器定位下行坐骨神经复合腰丛阻滞麻醉。Ⅰ组：1％罗哌卡因200 mg加入生理盐水30 ml；Ⅱ组：1％罗哌卡因200 mg加入舒芬太尼20μg （2 ml ）、生理盐水28 ml。结果Ⅰ组患者感觉阻滞持续时间和运动阻滞持续时间[腰丛（7.9±3.6）h和（5.9±3.4）h、坐骨神经（8.2±3.5）h和（6．6±3.2）h]明显短于Ⅱ组[腰丛（15.1±2.4）h和（10.2±3.5）h、坐骨神经（16.3±2.7）h和（11.7±3.8）h]（P＜0.01）。Ⅰ组患者48 h舒芬太尼的消耗量、按压总次数和有效次数比Ⅱ组多（P ＜0.05）。结论0.4μg/ml的舒芬太尼能明显延长0.4％罗哌卡因腰丛-坐骨神经阻滞作用时间，减少术后阿片类药物的使用。
목적비교서분태니복합라고잡인신경조체대라고잡인조체시효적영향。방법60례환자수궤분위Ⅰ、Ⅱ량조，매조30례。소유환자균재신경자격기정위하행좌골신경복합요총조체마취。Ⅰ조：1％라고잡인200 mg가입생리염수30 ml；Ⅱ조：1％라고잡인200 mg가입서분태니20μg （2 ml ）、생리염수28 ml。결과Ⅰ조환자감각조체지속시간화운동조체지속시간[요총（7.9±3.6）h화（5.9±3.4）h、좌골신경（8.2±3.5）h화（6．6±3.2）h]명현단우Ⅱ조[요총（15.1±2.4）h화（10.2±3.5）h、좌골신경（16.3±2.7）h화（11.7±3.8）h]（P＜0.01）。Ⅰ조환자48 h서분태니적소모량、안압총차수화유효차수비Ⅱ조다（P ＜0.05）。결론0.4μg/ml적서분태니능명현연장0.4％라고잡인요총-좌골신경조체작용시간，감소술후아편류약물적사용。
Objective To compare effect of sufentanil on the action of ropivacaine .Methods Sixty patients were randomly allocated into two groups with 30 cases each.Guided by a nerve stimulator,lumbar plexus combined sciatic nerve block was performed with 1% ropivacaine 200 mg plus normal saline ( NS) 30 ml in group Ⅰ,1%ropivacaine 200 mg plus sufentanil 20μg(2 ml) and normal saline (NS) 28 ml in groupⅡ.Results The durations of sensory and motor blockade in group I [lumbar plexus(7.9 ±3.6)h and (5.9 ±3.4)h,sciatic nerve(8.2 ±3.5) h and (6.6 ±3.2)h ]were significantly shorter than in group Ⅱ[(15.1 ±2.4)h and (10.2 ±3.5)h,(16.3 ± 2.7)h and(11.7 ±3.8)h](P<0.01).The postoperative sufentanil consumption and PCA button press times in group I were more than that of group Ⅱ ( P<0.05 ) at 48 h after operation .Conclusions Sufentanil 0.4 μg/ml significantly prolonged the action of ropivacaine in lumbar plexus combined sciatic nerve block and decreased the consumption of opiods for postoperative controlled analgesia .