盐酸罗哌卡因联合舒芬太尼在椎管内麻醉中的临床效果分析 .pdf

盐酸罗哌卡因联合窝劳太尼在椎管内麻醉中的I临床次果分析

【摘要】目的：分析盐酸罗哌卡因(Rop)联合舒芬太尼(Suf)在椎管内麻醉中的应用果。方法：所选86例

接受手术的下肢骨折患者均为2022年3月一2023年11月间秦安县人民医院骨科收治，按照随机数表法分为对照组和

观察组，各43例。对照组予以Rop椎管内麻醉，观察组予以Rop联合Suf椎管内麻醉。比较两组镇痛果，即术后1、

2和4h时的视觉模拟评分(VAS)；比较两组麻醉前(T0)、麻醉10min(T1)、手术30min(T2)和术毕(T3)4

个时段患者的平均动脉压(MAP)和心率(HR)。结果：观察组术后1、2和4h时的VAS评分均低于对照组，Pv0.05；

两组T1和T2时的MAP和HR均较T0时下降，T3时的MAP和HR较T1和T2时有所升高，但观察组T1、T2和T3

时MAP和HR高于对照组，P0.05o结论：Rop联合Suf应用于椎管内麻醉中，能够提高镇痛果，减轻机体血流动

力学波动。

【关键词】椎管内麻醉；盐酸罗哌卡因；舒芬太尼；镇痛果；血流动力学

Anlysisoftheclinicleffectofropivcinehydrochloridecombinedwithsufentnilinintrspinlnesthesi

XINXioyn

DeprtmentofAnesthesiologyndSurgery,QinnCountyPeoplesHospitl,Gnsu,Tinshui,Gnsu

741600,Chin

［Abstrct］Objective：Tonlyzethepplictioneffectofropivcinehydrochloride(Rop)combinedwith

sufentnil(Suf)inintrspinlnesthesi.Methods：The86ptientswithlowerlimbfrctureswhounderwentsurgery

wereselectedfromthedeprtmentoforthopedicsofQinnCountyPeoplesHospitlfromMrch2022toNovember

2O23.Theyweredividedintothecontrolgroupndtheobservtiongroupusingrndomnumbertblemethod,with

43csesinechgroup.ThecontrolgroupwsgivenRopintrspinlnesthesi,ndtheobservtiongroupwsgiven

RopcombinedwithSufintrspinlnesthesi.Thenlgesiceffectsofthetwogroupswerecompred,thtis,the

visulnloguescore(VAS)t1h,2hnd4hftersurgery；Themenrterilpressure(MAP)ndhertrte

(HR)oftheptientswerecompredbetweenthetwogroupsbeforenesthesi(TO),nesthesifor10minutes

(T1),surgeryfor30minutes(T2),ndftersurgery(T3).Results：TheVASscoresoftheobservtiongroup

t1h,2h,nd