文章摘要
刘涌,罗彧钰,田丽.罗哌卡因复合小剂量舒芬太尼骶管阻滞结合电针技术对肛肠手术后镇痛效果的影响[J].中国医药导刊,2017,19(12):1361-1364.
罗哌卡因复合小剂量舒芬太尼骶管阻滞结合电针技术对肛肠手术后镇痛效果的影响
Effect of Analgesia after Anorectal Operation on Ropivacaine Combined with Small Dose Sufentanil for Sacral Block Combined with Electroacupuncture Technology
投稿时间:2017-10-13  修订日期:2017-11-10
DOI:
中文关键词: 罗哌卡因  舒芬太尼  骶管阻滞  电针技术  肛周脓肿  镇痛
英文关键词: Ropivacaine  Sufentanil  Sacral canal block  Electro acupuncture technique  Perianal abscess  Analgesia
基金项目:河北省中医药管理局课题(项目编号:2016096;项目名称:骶管阻滞复合电针技术在肛肠手术中对腹部牵拉反射的影响)
作者单位E-mail
刘涌 石家庄市中医院麻醉科 ll87475@126.com 
罗彧钰 石家庄市中医院麻醉科  
田丽 石家庄市中医院麻醉科  
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中文摘要:
      目的:探讨罗哌卡因复合小剂量舒芬太尼骶管阻滞结合电针技术对肛周脓肿手术后镇痛效果的影响。方法:选取我院2014年1月至2016年1月收治的100例肛周脓肿患者作为研究对象,随机分为研究组和对照组,对照组患者给予罗哌卡因复合小剂量舒芬太尼骶管阻滞进行治疗,研究组在对照组的基础上给予电针进行治疗。结果:结果显示,手术当天两组疼痛分级分布差异无统计学意义(P>0.05),手术后第1天、第2天、第3天、第7天研究组的疼痛等级均显著优于对照组(P<0.05)。与对照组相比,术后研究组患者双下肢肌力恢复时间和自主排尿恢复时间均降低且差异有统计学意义(P<0.05)。麻醉后,两组患者镇痛起效时间相比差异无统计学意义(P>0.05);与对照组相比,研究组患者麻醉持续时间及最高运动阻滞到达时间均减少且差异有统计学意义(P<0.05)。与对照组相比,研究组灼痛反应、感觉异常的发生率明显降低且差异有统计学意义(P<0.05);研究组患者远期不良反应发生率明显降低且差异有统计学意义(P<0.05)。研究组患者满意度为92.0%,对照组患者满意度为74.0%,两组相比,研究组满意度明显高于对照组且差异有统计学意义(P<0.05)。结论:罗哌卡因复合小剂量舒芬太尼骶管阻滞结合电针技术用于肛周脓肿手术,能达到舒适有效的术后镇痛效果,具有临床应用推广价值。
英文摘要:
      Objective:To discuss the effect of analgesia after perianal abscess operation on ropivacaine combined with small dose sufentanil for sacral block combined with electroacupuncture technology.Methods: 100 cases of perianal abscess patients in our hospital from January 2014 to January 2016 were selected as the object. According to the random number table,100 patients were divided into study group and control group,the control group was treated with ropivacaine combined with small dose sufentanil for sacral block treatment,the study group was treated with electroacupuncture on the basis of the control group.Results: For the two groups of patients on the day of surgery, postoperative 1st day, 2nd day, 3th day,7th day, the pain were compared. The results showed that in addition to the day of surgery the pain classification distribution of the two groups had no statistical significance(P>0.05), on the other time point the pain grade of the study group was significantly better than the control group (P<0.05).Compared with the control group,the recovery time of lower limb muscle strength and the time of spontaneous micturition recovery of the study group both decreased and the difference was statistically significant (P<0.05). After anesthesia,the onset time of analgesia of the two groups of patients had no statistical difference(P>0.05). Compared with the control group,the study group patients′ duration of anesthesia and maximum motor block arrival time decreased and the difference was statistically significant (P<0.05).Compared with the control group, the burning reaction,feel abnormal rate of the study group decreased significantly and the difference was statistically significant (P<0.05). The long term adverse reaction incidence of the study group was significantly reduced and the difference had statistical significance (P<0.05). The satisfaction degree of patients in the study group was 92%,the control group was 74%, compared with the control group,the satisfaction of the study group was significantly higher (P<0.05).Conclusion: Ropivacaine combined with small dose sufentanil for sacral block combined with electroacupuncture for perianal abscess operation can achieve comfortable and effective analgesic effect after surgery,which has clinical application value.
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