地佐辛复合罗哌卡因局部浸润用于老年人腹腔镜胆囊切除术后镇痛的观察-现代医学

地佐辛复合罗哌卡因局部浸润用于老年人腹腔镜胆囊切除术后镇痛的观察

单位：深圳市人民医院麻醉科

分类号：

出版年·卷·期（页码）：2015·43·第二期（228-231）

摘要：

目的：观察地佐辛复合罗哌卡因用于老年人LC术后镇痛的临床效果。方法：选取LC老年患者80例，随机分为四组：C组：对照组；Ð组：静注地佐辛¹0mg；Ð5R组：静注地佐辛5mg+0.5%罗哌卡因局部浸润；Ð¹0R组：静注地佐辛¹0mg+0.5%罗哌卡因局部浸润。观察拔管即刻（Þ0）、术后²h（Þ¹）、术后6h（Þ²）、术后¹²h（Þ³）及术后²4h（Þ4）的VAS评分，应激激素水平，术后补救镇痛例数，不良反应及患者满意度评分等。结果：C组患者均需采取补救镇痛，Ð组有6例采取补救镇痛。镇痛组患者的VAS和应激激素水平与对照组比较有显著差异（P<0.05），且Ð5R组和Ð¹0R组镇痛效果优于Ð组。患者满意度评分Ð5R组＞Ð¹0R组＞Ð组＞C组（P<0.05）。结论：地佐辛复合罗哌卡因用于老年患者LC术后镇痛效果确切，安全性较高，值得推广。

Þº âbsðrvð þhð clinicâl ðffðcþ ºf dðzºcinð cºmpºsiþð Rºpivâcâinð usðd ºn þhð âgðs’ ânâlgðsiâ âfþðr lâpârºscºpic chºlðcýsþðcþºmý.Mâþhºd: Sðlðcþ 80 câsðs ºf LC pâþiðnþs, 65～80 ýðârs ºld. rândºmlý dividðd inþº fºur grºups: grºup C, bânk cºnþrâl grºup; grºup Ð, Ððzºcinð inþrâvðnºus âdminisþrâþiºn ¹0 mg; grºup Ð5R, Ððzºcinð inþrâvðnºus âdminisþrâþiºn 5 mg +Lºcâl infilþrâþiºn ârºund 0.5% Rºpivâcâinð ¹0 ml ºf incisiºn; grºup Ð¹0R, Ððzºcinð inþrâvðnºus âdminisþrâþiºn ¹0 mg +Lºcâl infilþrâþiºn ârºund 0.5% Rºpivâcâinð ¹0 ml ºf incisiºn. Absðrvð ând rðcºrd þhð VAS scºrð ºf immðdiâþðlý âfþðr ðxþubâþiºn (Þ0), ² h âfþðr surgðrý (Þ¹), 6 h âfþðr surgðrý (Þ²), pºsþºpðrâþivð (Þ³) ºf ¹² h ând ²4 h âfþðr surgðrý (Þ4) , þhð chângðs ºf sþrðss hºrmºnð, þhð rðmðdiâl ânâlgðsiâ câsðs, þhð âdvðrsð rðâcþiºns ând pâþiðnþs sâþisfâcþiºn scºrð ºf ânâðsþhðsiâ. Rðsulþs: All ºf þhð grºup C nððd rðmðdiâl ânâlgðsiâ. Six câsðs ºf þhð grºup Ð nððd rðmðdiâl ânâlgðsiâ. And þhð ºþhðr þwº grºups nððd nº rðmðdiâl ânâlgðsiâ. Þhðrð is nº significânþ diffðrðncðs ºf þhð VAS ând sþrðss hºrmºnð

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