延边医学
延邊醫學
연변의학
YAN BIAN YI XUE
2014年
19期
4-5
,共2页
罗哌卡因%吗啡%网膜下腔麻醉%下肢骨科手术
囉哌卡因%嗎啡%網膜下腔痳醉%下肢骨科手術
라고잡인%마배%망막하강마취%하지골과수술
ropivacaine%morphine%subarachnoid anesthesia lower%limb orthopedic surgery
目的：：探讨罗哌卡因复合吗啡蛛网膜下腔麻醉用于下肢骨科手术的临床疗效。方法：选取我院收治的56例下肢骨科手术患者，将其随机分为观察组和对照组，每组28例，观察组采用罗哌卡因复合吗啡，对照组采用罗哌卡因加镇痛泵，比较两组患者镇痛效果及不良反应的发生情况。结果：观察组优良率及有效率分别是78.6%、96.4%，对照组分别为53.6%、71.4%，两组比较有明显差异，P<0.05，观察组镇痛时间在24h 以上的比例明显大于对照组，两组比较有统计学意义，P<0.05。观察组不良反应发生率为3.6%，对照组为32.1%，两组比较有明显差异，P<0.01。结论：罗哌卡因复合吗啡蛛网膜下腔麻醉用于下肢骨科手术安全有效，简单实用，值得临床推广使用。
目的：：探討囉哌卡因複閤嗎啡蛛網膜下腔痳醉用于下肢骨科手術的臨床療效。方法：選取我院收治的56例下肢骨科手術患者，將其隨機分為觀察組和對照組，每組28例，觀察組採用囉哌卡因複閤嗎啡，對照組採用囉哌卡因加鎮痛泵，比較兩組患者鎮痛效果及不良反應的髮生情況。結果：觀察組優良率及有效率分彆是78.6%、96.4%，對照組分彆為53.6%、71.4%，兩組比較有明顯差異，P<0.05，觀察組鎮痛時間在24h 以上的比例明顯大于對照組，兩組比較有統計學意義，P<0.05。觀察組不良反應髮生率為3.6%，對照組為32.1%，兩組比較有明顯差異，P<0.01。結論：囉哌卡因複閤嗎啡蛛網膜下腔痳醉用于下肢骨科手術安全有效，簡單實用，值得臨床推廣使用。
목적：：탐토라고잡인복합마배주망막하강마취용우하지골과수술적림상료효。방법：선취아원수치적56례하지골과수술환자，장기수궤분위관찰조화대조조，매조28례，관찰조채용라고잡인복합마배，대조조채용라고잡인가진통빙，비교량조환자진통효과급불량반응적발생정황。결과：관찰조우량솔급유효솔분별시78.6%、96.4%，대조조분별위53.6%、71.4%，량조비교유명현차이，P<0.05，관찰조진통시간재24h 이상적비례명현대우대조조，량조비교유통계학의의，P<0.05。관찰조불량반응발생솔위3.6%，대조조위32.1%，량조비교유명현차이，P<0.01。결론：라고잡인복합마배주망막하강마취용우하지골과수술안전유효，간단실용，치득림상추엄사용。
Objective: To investigate ropivacaine clinical efficacy of morphine spinal anesthesia for lower limb orthopedic surgery. Methods: 56 cases in our hospital lower limb orthopedic surgery were randomly divided into observation group and control group 28 cases, the observation group ropivacaine and morphine, the control group ropivacaine analgesia Kayin Jia the occurrence of a pump, two groups were compared the analgesic effect and adverse reactions. Results: The excellent rate and efficiency were 78.6%, 96.4% in the control group were 53.6%, 71.4%, comparing the two groups were significantly different, P <0.05, the ratio of the observation group duration of analgesia was significantly greater than in more than 24h the control group, the two groups was statistically significant, P <0. 05. Adverse reactions observed group was 3.6% vs 32.1%, respectively, were significantly different, P <0.01. Conclusion: ropivacaine morphine spinal anesthesia for lower limb orthopedic surgery is safe and effective, simple and practical, worthy of clinical use.
