摘要
目的观察罗哌卡因头皮神经阻滞在开颅手术后的镇痛效应。方法将我院2006～2010年诊断的60例硬脑膜外血肿随机分为实验组和对照组。手术麻醉方法均按照常规方法进行,头皮缝合完毕后实施镇痛程序。实验组予以0.5%罗哌卡因头皮神经阻滞法术后镇痛,对照组予以1%利多卡因头皮神经阻滞法术后镇痛,所有患者于术后6、10、14、18、24、48h进行疼痛评估,采用10cm视觉评分表法(VAS),并比较两种药物的镇痛效果持续时间。结果采取0.5%罗哌卡因镇痛实验组的镇痛效果优于采取1%利多卡因镇痛对照组,且实验组的镇痛效果持续时间长于对照组。结论在开颅手术中,罗哌卡因头皮神经阻滞具有相对于利多卡因头皮神经阻滞更优越的镇痛效果和更长的镇痛持续时间,为临床的应用进一步提供了参考。
Objective To observe the analgesic effect of the scalp nerve block with ropivacaine after craniotomy surgery.Methods 60 cases of extradural hematoma diagnosed in our hospital from 2006 to 2010 were randomly divided into experimental and control group.Surgery and anesthesia procedures were carried out as usual,analgesia procedures were implemented after scalp closure procedures.Experimental group received scalp nerve block to achieve analgesia with 0.5% ropivacaine and control group was treated by the scalp nerve block with 1% lidocaine to achieve analgesia.All the patients were done with pain assessment at 6,10,14,18,24,48 hours after surgery using 10cm visual score table method（VAS）,then compared the duration of two drugs＇ analgesic effect.Results The analgesic effect of the experimental group was better than that of the control group,and the duration of analgesic effect of the experimental group was longer than that of the control group.Conclusion In neurosurgical craniotomy,scalp nerve block with ropivacaine has a superior analgesia effect and a longer duration of analgesia effect,it provides a significant reference for clinical application.
出处
《四川医学》
CAS
2011年第11期1730-1731,共2页
Sichuan Medical Journal
