[1]蒋 琼,黄明辉,朱 华.罗哌卡因用于开颅手术患者超声引导下头皮神经阻滞的效果[J].医学信息,2022,35(02):160-162.[doi:10.3969/j.issn.1006-1959.2022.02.041]
　JIANG Qiong,HUANG Ming-hui,ZHU Hua.Effect of Ropivacaine on Scalp Nerve Block Guided by Ultrasoundin Patients Undergoing Craniotomy[J].Medical Information,2022,35(02):160-162.[doi:10.3969/j.issn.1006-1959.2022.02.041]
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罗哌卡因用于开颅手术患者超声引导下头皮神经阻滞的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年02期
页码:
160-162
栏目:
药物与临床
出版日期:
2022-01-15

文章信息/Info

Title:
Effect of Ropivacaine on Scalp Nerve Block Guided by Ultrasoundin Patients Undergoing Craniotomy
文章编号:
1006-1959（2022）02-0160-03
作者:
蒋 琼; 黄明辉; 朱 华
赣州市人民医院麻醉科，江西 赣州 341000
Author(s):
JIANG Qiong; HUANG Ming-hui; ZHU Hua
Department of Anesthesiology,Ganzhou people’s Hospital,Ganzhou 341000,Jiangxi,China
关键词:
罗哌卡因; 超声; 头皮; 神经阻滞
Keywords:
Ropivacaine; Ultrasound; Scalp; Nerve block
分类号:
R614.4
DOI:
10.3969/j.issn.1006-1959.2022.02.041
文献标志码:
A
摘要:
目的 观察开颅手术的患者采用罗哌卡因进行超声引导下头皮神经阻滞的效果。方法 选取2020年6月-2021年6月在我院行开颅手术的56例患者为研究对象，采用随机数字表法分为对照组和观察组，各28例。对照组采用利多卡因超声引导下头皮神经阻滞，观察组采用罗哌卡因进行超声引导下头皮神经阻滞，比较两组镇痛持续时间、疼痛（VAS）评分、平均动脉压、心率、术后24 h不良反应发生情况。结果 观察组镇痛持续时间大于对照组（P＜0.05）；观察组术后5、10、15、24 h的VAS评分均低于对照组（P＜0.05）；两组诱导后、切皮时、钻颅骨时、手术结束时平均动脉压均低于诱导前，且观察组不同时间段平均动脉压和心率均低于对照组（P＜0.05）；观察组术后24 h不良反应发生率为7.14%，低于对照组的17.86%（P＜0.05）。结论 接受开颅手术的患者采用罗哌卡因进行超声引导下头皮神经阻滞，镇痛效果显著，可延长镇痛作用持续时间，降低平均动脉压和心率，且术后不良反应发生率低。
Abstract:
Objective To observe the effect of ropivacaine on scalp nerve block guided by ultrasound in patients undergoing craniotomy.Methods A total of 56 patients who underwent craniotomy in our hospital from June 2020 to June 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with 28 cases in each group. The control group was treated with lidocaine ultrasound-guided scalp nerve block, and the observation group was treated with ropivacaine for ultrasound-guided scalp nerve block. The analgesic duration, pain (VAS) score, mean arterial pressure, heart rate, and incidence of adverse reactions 24 h after operation were compared between the two groups.Results The duration of analgesia in the observation group was longer than that in the control group (P<0.05). VAS scores at 5, 10, 15 and 24 h after operation in the observation group were lower than those in the control group (P<0.05). The mean arterial pressure after induction, during skin incision, during skull drilling and at the end of operation in the two groups were lower than those before induction, and the mean arterial pressure and heart rate in the observation group at different time periods were lower than those in the control group (P<0.05). The incidence of adverse reactions 24 h after operation in the observation group was 7.14%, which was lower than 17.86% in the control group (P<0.05).Conclusion Ultrasound-guided scalp nerve block with ropivacaine in patients undergoing craniotomy can improve the analgesic effect, prolong the duration of analgesia, reduce the mean arterial pressure and heart rate, and reduce the incidence of adverse reactions after operation.

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更新日期/Last Update: 1900-01-01