摘要
目的 探讨低剂量利多卡因联合罗哌卡因在足部手术超声引导下下肢神经阻滞中的麻醉效果。方法 80例足部手术患者,根据随机数字表法分为对照组和观察组,每组40例。对照组采用罗哌卡因实施麻醉,观察组采用低剂量利多卡因联合罗哌卡因实施麻醉。比较两组患者感觉神经阻滞和运动神经阻滞的起效时间和持续时间,麻醉效果,不良反应发生情况。结果 观察组患者感觉神经阻滞和运动神经阻滞的起效时间分别为(9.3±2.8)、(15.1±2.3)min,明显短于对照组的(16.2±4.1)、(24.7±2.5)min,差异具有统计学意义(P<0.05)。两组患者感觉神经阻滞和运动神经阻滞的持续时间比较差异无统计学意义(P>0.05)。观察组患者的麻醉优良率为95.0%,显著高于对照组的80.0%,差异具有统计学意义(P<0.05)。观察组患者麻醉后不良反应发生率为10.0%,低于对照组的27.5%,差异具有统计学意义(P<0.05)。结论 低剂量利多卡因联合罗哌卡因超声引导下下肢神经阻滞在足部手术中的麻醉效果显著,可有效加快起效时间,不良反应较少,值得推广应用。
Objective To discuss the anesthetic effect of low-dose lidocaine combined with ropivacaine for ultrasound-guided lower limb nerve block in foot surgery.Methods A total of 80 patients undergoing foot surgery were divided into a control group and an observation group according to random number table method,with 40 cases in each group.The control group used ropivacaine for anesthesia,and the observation group used low-dose lidocaine and ropivacaine for anesthesia.The onset time and duration time of sensory nerve block and motor nerve block,anesthesia effect and adverse reactions were compared between the two groups.Results The onset time of sensory nerve block and motor nerve block in the observation group were(9.3±2.8)and(15.1±2.3)min,which were significantly shorter than those of(16.2±4.1)and(24.7±2.5)min in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the duration of sensory nerve block and motor nerve block between the two groups(P>0.05).The excellent-good rate of anesthesia in the observation group was 95.0%,which was significantly higher than that of 80.0%in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions after anesthesia in the observation group was 10.0%,which was lower than that of 27.5%in the control group,and the difference was statistically significant(P<0.05).Conclusion Low-dose lidocaine combined with ropivacaine for ultrasound-guided lower limb nerve block is an effective anesthesia block method in foot surgery,which can effectively accelerate the onset time,with fewer adverse reactions,and is worthy of promotion and application.
作者
金茹
刘鸽
JIN Ru;LIU Ge(Department of Anesthesia,Xuzhou Renci Hospital,Xuzhou 221000,China)
出处
《中国现代药物应用》
2024年第1期98-100,共3页
Chinese Journal of Modern Drug Application
