罗哌卡因椎旁神经阻滞对胸科手术镇痛的临床效果的探讨-临床护理进展-CSCIED科技核心评价数据库-手机版

罗哌卡因椎旁神经阻滞对胸科手术镇痛的临床效果的探讨

Clinical effect of ropivacaine paravertebral nerve block on analgesia in thoracic surgery

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DOI	10.12208/j.jacn.20220127
刊名	临床护理进展 Journal of Advances in Clinical Nursing
年，卷(期)	2022, 1(3)
作者	王立宪*,牛志强,
作者单位	沧州市中心医院河北沧州 ;
摘要	本文对罗哌卡因椎旁神经阻滞对胸科手术镇痛的临床效果作进一步探究，为临床提供可供参考的依据。方法回顾性分析2021年1月-2021年12月期间在本院行胸科手术的患者为研究对象，共计60例，按接收治疗顺序平均分为高浓度组和低浓度组（每组各30例），对比观察采用超声引导下打椎旁神经阻滞，注入罗哌卡因（浓度0.5%）的高浓度组与注入罗哌卡因（0.375%）的低浓度组的临床效果。结果统计研究表明，两组患者在采取不同浓度的罗哌卡因椎旁神经阻滞方法后，高浓度组与低浓度组的术后安静时与运动时的疼痛(VAS)评分及不良反应发生率比较，数据差异，P＞0.05，无统计学意义。结论分析表明，罗哌卡因椎旁神经阻滞对胸科手术麻醉及镇痛可提供满意的临床效果，临床应用价值良好，并且低浓度罗哌卡因可以产生与高浓度罗哌卡因相似的胸科手术镇痛效果。值得在临床椎旁神经阻滞胸科手术镇痛中推广应用。
Abstract	Objective: To further explore the clinical effect of ropivacaine paravertebral nerve block on analgesia in thoracic surgery, and to provide a reference basis for clinical practice. Methods: a total of 60 patients who underwent thoracic surgery in our hospital from January 2021 to December 2021 were retrospectively analyzed. They were divided into high concentration group and low concentration group (30 cases in each group) according to the treatment order. The clinical effects of paravertebral nerve block guided ultrasonic puncture , high concentration group injected with ropivacaine (0.5%) and low concentration group injected with ropivacaine (0.375%) were compared. Results: the statistical study showed that after the two groups were treated with different concentrations of ropivacaine for paravertebral nerve block, there was no statistical significance between the high concentration group and the low concentration group in terms of the postoperative pain (VAS) score and the incidence of adverse reactions at rest and during exercise (P > 0.05). Conclusion: the analysis shows that ropivacaine paravertebral nerve block can provide satisfactory clinical effect for anesthesia and analgesia in thoracic surgery, and the clinical application value is good. Low concentration ropivacaine can produce similar analgesic effect to high concentration ropivacaine in thoracic surgery. It is worth popularizing the application of paravertebral nerve block in thoracic surgery.
关键词	罗哌卡因；椎旁神经阻滞；胸科手术；镇痛；不用浓度；临床效果
KeyWord	Ropivacaine; Paravertebral Nerve Block; Thoracic Surgery; Analgesia; No Concentration; Clinical Effect
基金项目
页码	126-128

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[1] 彭培培,宋新婷,杨婉,等.不同浓度罗哌卡因超声引导下胸椎旁神经阻滞对胸腔镜下肺癌根治术患者术后疼痛的影响[J].国际麻醉学与复苏杂志,2020,41(6):583-588.

[2] 侯丕红,鲍红光,李金生,等.超声引导下胸椎旁神经阻滞对胸腔镜手术患者苏醒质量及术后镇痛的影响[J].临床麻醉学杂志,2019,35(5):421-424.

[3] 王忠义,苗国瑞,王福朝,等.地佐辛复合罗哌卡因胸椎旁神经阻滞在胸科手术中的应用[J].河北医药,2020, 42(8): 1217-1219,1223.

[4] 李冰,刘瑶,吕丽曼,等.胸椎旁神经阻滞对胸外科患者术后慢性疼痛的影响[J].中华麻醉学杂志,2019,39(1):56-58.

[5] 高从荣,裴韶华,岳晖,等.罗哌卡因椎旁阻滞对单孔腔镜肺叶切除与全麻传统多孔腔镜肺叶切除临床疗效对比[J].中国老年学杂志,2022,42(5):1102-1105.

[6] 陈慧娟,张阳,石梦竹,等.老年患者胸腔镜肺叶切除术前行胸椎旁神经阻滞所需罗哌卡因的最佳药物浓度观察[J].国际麻醉学与复苏杂志,2021,42(3):258-262.

[7] 杨小强,丁伟,张小亮,等.不同浓度罗哌卡因行胸椎旁神经阻滞麻醉对老年胸腔镜肺叶切除术患者围手术期镇痛的效果[J].医学信息,2021,34(24):131-134.

[8] 王尚明.探讨超声引导下罗哌卡因椎旁神经阻滞在胸腔镜下手术的临床疗效及安全性研究[J].世界最新医学信息文摘,2021,21(101):1017-1018.

[9] 徐锋,杨玉珍,吴彬.罗哌卡因肋间神经阻滞及胸椎旁神经阻滞对胸腔镜肺叶切除术后镇痛效果的影响[J].临床误诊误治,2020,33(9):102-107.

[10] 公衍福,石淑娟,杨俊红.胸椎旁神经阻滞应用不同浓度罗哌卡因的麻醉镇痛效果比较[J].健康之友,2020(24):81.

引用本文

王立宪*,牛志强. 罗哌卡因椎旁神经阻滞对胸科手术镇痛的临床效果的探讨 [J]. 临床护理进展. 2022; 1; (3). 126 - 128.

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